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ANNUAL REPORT
2015
ANGAU MEMORIAL GENERAL HOSPITAL
Overview ...............................................................
Vision .....................................................................
Chairman’s Report ..............................................
CEO’s Report ........................................................
Organisation Structure .......................................
Board and Management ....................................
Corporate Services Report ................................
Medical Services Report ....................................
Nursing Services Report ....................................
Financial Statements ..........................................
Appendixes ............................................................
Special Tribute ......................................................
Acknowledgements .............................................
CONTENTS
02
03
06
08
10
12
13
15
20
22
36
40
41
2
Population growth
rate in Lae and Morobe
province is assumed to
be 3.1% per annually
and 2.8% for the
Momase Region
Overview
POPULATION
ANGAU Memorial General Hospital is
located in the city of Lae, Papua New
Guinea.
Lae is both a city and a district within
Morobe Province and is part of four
provinces that make up the Momase
region.
The ANGAU Hospital serves as a district
hospital for the 149,000 residents of
Lae, a provincial hospital for over 675,
000 residents of Morobe and a regional
referral hospital for 1.9 million people in
the Momase and regions.
In addition, given its location and
transport linkages, ANGAU also
provides services to the highlands
region of Papua New Guinea.
Population growth in Lae and Morobe
is assumed to be 3.1 percent annually
and 2.8 percent for the population of the
Momase region1
.
BACKGROUND
The hospital was officially opened on
1  Population projection for Momase Region to 2015
based on 2011 PNG Census
April 7, 1964.
ANGAU is the acronym for
the Australia New Guinea
Administrative Unit.
It was a unit set up during World
War II but later was incorporated
as an independent legal entity
under Section 6 of the Public
Hospital Act.
MANAGEMENT
ANGAU hospital has a governing
body that consist of thirteen
board members with one chair,
a deputy chair and seven board
members.
The Board is also supported by
four full time members of the
executive management team which is
the Chief Executive Officer and three
Directors.
To Strive for Excellence in the Provision of Caring Services for the Wellness of the Community and
Participation in Professional Development and Training of Health Staff.
3
To develop the hospital into a centre
of excellence for the provision of quality
tertiary health service and meeting the
national and international standards.
Our Vision
4
Our Values
Mission Statement
Our Mission
Statement, Values
and Strategy
CLIENT FIRST STAFF DEVELOPMENT RESULT BASED
To strive for excellence in the
provision of caring for the
wellness of the community.
Participation in professional and
development training of health
staff.
To improve and maintain the
health and well being of all who
access our services.
Access in delivery of
caring services.
Responsible management
of resources.
Community participation.
EXCELLENCE IN DELIVERY OF CARING
SERVICES
Support staff professional development.
Empower our health staff with skills, authority
and responsibility to deliver the services in an
efficient and effective way.
That we offer our health staff with adequate
opportunity and support to enhance their skills
and recognition of the fact that motivated and
skilled staff are the organizations greatest
asset.
RESPONSIBLE MANAGEMENT OF RESOURCES
Ensure that there is a balance for the needs
of our clients and the organization’s needs
to remain economically viable without
compromising the Public Hospital Standards.
COMMUNITY PARTICIPATION
Encourage local community participation in
planning and in decision-making process in
and feedback to the hospital in relation to
hospital services.
GOALS
•	 Improving Health
•	 Improving Quality and Customer Focus
•	 Improving Resource Management
Improving Health
Achieve the best possible health results with
available resources. Improve the level of the
hospital’s hygiene and cleanliness to the
highest standard possible.
Improving Quality and Customer Focus
Build a Management and Facilities
Environment, which promotes and supports
continuous quality improvements and is
customer focused.
Ensure community participation in planning,
development and evaluation of hospital
services.
Develop greater linkages and effective
partnerships between the Hospital and
Provincial Health Services and other service
providers.
Establish mechanisms to identify issues for
joint attention and explore ways to strengthen
primary care services and facilities.
IMPROVING RESOURCE MANAGEMENT
Develop workforce planning and other human
resource initiative to ensure a well trained
flexible and motivated workforce.
Apply workforce planning at all levels and
enhance performance through development of
managers and staff.
Develop and implement a hospital facilities
master plan including achievements of a new
hospital.
ANNUAL PUBLIC MEETING AND ANNUAL
REPORT
The annual pubic meeting is held once each
calendar year in accordance with provisions
of the hospital’s By Laws and the Act. Notice
is publicly advertised a month prior to the
meeting.
The Public Hospital Act 1995 (Amended)
requires that the hospital furnish to the
Minister for Health an annual report on the
progress and performance of the Board of
Management including audited financial
statements.
This Annual Report for 2015 is presented in
compliance with this statute requirements.
Financial statements of receipts and payments
for 2015 presented in this report are yet to be
audited by the Auditor Generals Office.
Publications produced by the hospital that
deals with functions, powers, duties and
activities of the hospital are:
•	 The Annual Report and Financial
Statements
•	 The Hospital By Laws
•	 The Organization and Committee Structure
of the hospital
•	 The Hospital Strategy Plan
6
Welcome to the 2015 Annual Report for
ANGAU Memorial General Hospital.
This past year was a year of significant
activity for ANGAU with new facilities
constructed by the Government of
Papua New Guinea, work commencing
on the initial phases of the
redevelopment plan for the hospital as
per the Joint Understanding between
the Governments of Papua New Guinea
and Australia, the continuation of a
number of productive partnerships
with like-minded organisations and the
appointment of a new Chief Executive
Officer.
I would like to give credit to the
hardworking management and staff of
ANGAU who have had to work under
great pressure in sometimes extreme
conditions to provide quality health care
to our patients.
The projects currently underway are
being staged accordingly and will
see ANGAU through the transition
to a revitalised hospital facility over
the next few years however given the
shortfall in available funds from the
PNG Government, the master planning
process for the redevelopment of
ANGAU is being revised to make the
most efficient use of the funding that is
now available.
The master planning process remains
an inclusive process with significant
stakeholder engagement during the
design phases of the project.
The project is controlled by a Steering
Committee made up of key stakeholders
including myself and the ANGAU CEO.
This work will eventually result in a
revitalised facility of which will be able
to address the health care needs of
Morobe and the region.
In addition to the new facilities at
ANGAU, we have had agreement that
funding would also be put into selected
district hospitals in the Morobe
Province.
For those of you who have visited
ANGAU, you will know it is overcrowded
and as such we are working with
the Morobe Province, the National
Department of Health, and the
Government of Australia to ensure that
selected district health facilities, which
include urban clinics in and around Lae,
have the capacity to treat basic health
issues so instead of coming to Lae
patients can be treated where they live.
Partnering with stakeholders is of
key importance to ANGAU for staff
development and once again this past
year saw reciprocal visits between
Chairman’s Report
To provide caring services for the wellbeing of the community.
7
ANGAU staff and the Changhua
Christian Hospital in Taiwan.
The significant donation of a new blood
mobile from the Huon Gulf Rotary
Club was thankfully received by the
hospital and will greatly assist the Blood
Bank team to collect blood from local
business houses whose employees
have been most generous with their
donations.
Another significant donation of a 40-
foot container of medical supplies was
gratefully received from the PNG Tribal
Foundation with logistical assistance
from ExxonMobil.
In July 2015, we welcomed Dr
Christopher Kenyhercz, along with his
wife Marsha, as ANGAU’s new CEO in
July 2015.
Dr Kenyhercz’s extensive international
hospital management skills will serve
the hospital well in the years to come.
Over the course of 2015, ANGAU also
undertook an extensive audit program
to rectify governance issues which have
plagued ANGAU in the past several
years.
This will allow the Board of
Management and the hospital’s
management team to focus on patient
care and providing the facilities as well
as a new level of health care service of
which Lae, Morobe, the Momase Region
and Papua New Guinea can be proud.
Tragically, ANGAU has lost three
dedicated staff members during the
year with the passing of Dr. Alphonse
Rongap, Dr. Songli Soctine, and Dr.
Margaret Nablu. May their souls rest
in eternal peace and may their families
find comfort that they are now with their
Heavenly Father.
We thank you all for your support of
ANGAU and may God Bless each and
every one of you.
DAVID WISSINK
Chairman
8
This year has seen many positive
changes in the leadership and
management of ANGAU hospital.
The board of management appointed
me as the new CEO to replace Acting
CEO, Dr. Abraham. A formal handover
took place in July to farewell Dr.
Abraham and receive me into office
see the rest of the year through.
A communications manager
was also appointed to develop a
communications plan and manage
media and public relations matters for
the hospital to encourage participation
of the communities and stakeholders.
These changes were also part of the
redevelopment master plan for a new
ANGAU hospital.
ANGAU is moving toward construction
of our new hospital and housing units.
We have committed partners who are
helping us achieve that goal.
ADMINISTRATIVE ROLE
The governments of Australia and
Papua New Guinea have agreed to co-
fund the reconstruction of the hospital
through the Australia-PNG Joint
Understanding on Further Bilateral
Cooperation on Health, Education, and
Law and Order, signed in July 2013.
The master planning process included
consultations with all hospital
stakeholders, assessing of existing
clinical and non-clinical services and
facilities, and an analysis of needs and
gaps in services and facilities.
Construction have since been
implemented in stages in order to
maintain full operation of current
hospital services.
Early works that took place were in
stage 2 included:
Stage 2A works have been up for
tender and ordered. This provides us
with new theatre equipment including
enough equipment for complete
function all our theatres, a portable
operating theatre, and a wealth of
equipment for the hospital.
Stage 2B for the Support Service
Building, Workshop, Morgue, and
Dental Clinic were put on tender and
awaiting confirmation.
Also, we have moved forward with
reclaiming the Northern and Southern
housing compounds through legal
channels so that we may develop staff
housing in these areas. In the process
we have arranged for the removal
of friable asbestos from the sites to
prevent health hazards.
STAFF ENGAGEMENTS
We have reinstituted multiple
committees’ such as management
committee, disciplinary committee,
and others in trying to promote better
CEO’s Report
2015 has been a year of change…new management, new focus, and new direction of where
ANGAU Memorial General Hospital is heading with respect to the hospital master plan.
9
communications channels to address
staff issues and encourage open
discussions on the day-to-day functions
of the hospital.
In an attempt to bring all our staff
together, we held our first staff
Christmas Party at Lae International
Hotel with great success and
attendance.
NOTABLE EVENTS FOR 2015
•	 Dedication and opening of 3 new 50
bed wards.
•	 Commenced construction on the
redevelopment project site office.
•	 Canteen structure completed.
•	 Received a Blood bus from the
Huon Gulf Rotary Club.
•	 Changed Security company to WAP
& Company.
•	 Implemented Time & Access
System to improve accountability
for staff, hours worked, and
absenteeism.
•	 Implemented new visiting hour
schedule to reduce number of
people on campus.
•	 Collaboration with Lae City
Administrator to improve
transportation via bus routes for
our staff and patients.
•	 New servers ordered with
communication network and
awaiting arrival and installation.
CHALLENGES
We are still faced with many obstacles
to overcome with our existing facilities.
However, those that are of immediate
attention are:
•	 Flood damage to CT scanner and
radiology department.
•	 Staffing of physicians problematic
due to availability of consultants
and registrars.
•	 Financial constraints due to
reduction in hospital budget.
•	 Maintaining hospital operations
and services during redevelopment.
I want to thank the staff who have
been excellent in their support and
commitment to this hospital through
this times of change.
Your commitment in your
administrative duties, patient care
including our personal service
assistants and our grounds staff have
ensured we continue to deliver health
services to our people.
God bless you all,
DR. CHRISTOPHER KENYHERCZ
Chief Executive Officer
ANGAU is moving toward
construction of our new
hospital and housing
units.
10
Organisational
structure
MINISTER FOR HEALTH
MAJOR SUB-COMMITTEES
•	 Resource Management Committee
•	 Health Services Committee (Patient Care)
•	 Medical Appointment Committee
•	 Tender Committee
DEPARTMENT OF HEALTH
ADMINISTRATOR
CHIEF EXECUTIVE
OFFICER
BOARD OF
MANAGEMENT
PATIENTS/GENERAL PUBLIC
ANGAU
HOSPITAL EXECUTIVE
SUPPORT
SERVICES
SUPPORT
SERVICES
MEDICAL & ALLIED HEALTH
STAFF
DEPARTMENT
MANAGERS
DEPARTMENT
MANAGERS
DEPARTMENT
MANAGERS
Pie chart showing the break up of general patient admission in the wards
in 2015.
Total number of inpatients admitted
in 2015
2904
5117
1079
1176
Adult Paediatric Special Care Nursery Post Natal
To identify issues for
joint attention and to
strengthen Primary Care
Services and Facilities.
We are a Government organisation
with the public interest at our
heart.
Patients young and old and from all walks of life
use health care services provided by the ANGAU
hospital.
Hospital Executive Management
In carrying out its duties, the Hospital Board and
Management is supported by sub-committees.
•	 The Finance Committee is responsible for
overseeing expenditure, presenting health
care services budget and monitoring the
hospital’s core activities performance on
patient care.
•	 The Training Committee is responsible
for overseeing the hospital’s human
resources strategy and advising the hospital
management on training of staff and related
matters.
•	 The Resource Committee is the guiding
force in overseeing hospital projects and
activities. It monitors all activities and
projects initiated. It acts as an advisory to
the Board.
12
Board & Management
Carol Yawing
Women’s Representative
Lae Urban LLG
ANGAU Board Members and the Management are from a wide sector of the community with a
lot of experiences put together. They represent different sectors in Morobe for the interest of the
people and hospital to ensure services are delivered with the client’s interest at heart.
Pastor Bonny Sinako
Religious Representative
ELC PNG
Dr Songli Soctine
Director Medical Services
Dr Chris Kenyhercz
Chief Executive Officer
Frank Keno
A/Director Corporate Services
Sr Concilia Amol
A/Director Nursing Services
Dr Simon Kasa
Staff Representative
SMO Urologist, ANGAU
David Wissink
Board Chairman
Sarah Haoda Todd
Deputy Board Chairlady
Nellie McClay
Business Representative
Sheila Harou Pati
Women’s Representative
Morobe Province Administration
Micah Yawing
Provincial Health Representative
Brian Alois
Department of Works
Management
Board
13
Corporate Services
We provides a range of support services to enable internal units of the hospital to carry out their
key business functions.
The corporate services is made up of
two divisions which are:
INTEGRATED HUMAN RESOURCES
DIVISION
•	 Human Resources Development and
Recruitment
•	 Job Evaluation and Organisational
Development (O&M)
•	 Industrial Relations
•	 Employees wellness and Safety
(Personnel)
INTEGRATED SUPPORT SERVICES
DIVISION
•	 Accounts Section
•	 Stores and Supplies
•	 Catering Services
•	 Transport and Communication
•	 Security and Fire Services
•	 Cleaning Services
•	 Laundry Services
•	 Housing
•	 Facilities and IT Section
In total, the corporate services
directorate comprises of 81 staff
members servicing the entire hospital
by performing various duties and
responsibilities under these sections.
WHAT WE DO
The Corporate Services main
responsibilities are to make sure that:
1.	 The Hospital Budget is done
annually and is satisfactory with
Cash Flow Projection complied
and submitted based on annual
appropriation.
2.	 Cash Funds Certificate (CFC) is
sent each month to Angau Hospital
and ensuring the confirmation of
Funds deposited. Account balances
are always up to date before any
commitment is made and is in line
with the Cash Flow Projection.
3.	 It was very unfortunate that no
Financial Statements were prepared
since 2010. We are now using this
as a stepping stone to get these
financial statements and records in
order and move forward.
4.	 Monthly bank reconciliations is done
and financial reports prepared for
monthly, quarterly and annually.
5.	 Financial reports are prepared
and submitted to the Hospital
Management, the Board of
Management and to the Health and
Finance Department on time.
6.	 Proper reporting templates are
done and distributed by Health
Department for Standardized
Reporting.
7.	 The yearly appropriations are
controlled and managed properly
following procedures and
regulations that are based on the
financial management policy.
8.	 A zero tolerance on corruption in all
procurement system in the entire
hospital with genuine spending.
9.	 We spend less funds but offer the
best for our patients and clients.
10.	On in all let our patients see, feel,
and enjoy the tangible developments
as we spent wisely.
HOSPITAL MANAGEMENT SERVICES
Total Expenses
2014 2015
33, 346.50 38, 586.20
14
MAIN ACCOUNTS
Closing balance for the three main
account as of December 2015 was
K35,637,404.54.
TRAINING
ANGAU Memorial General Hospital
continues to invest in our staff by
providing human resource development
initiatives to enable a well-trained
workforce.
In 2015, the management sponsored the
following staff for studies.
Diploma in Office Administration
•	 Mova James
•	 Margaret Toyen
•	 Belinda Bodang
•	 Florence Ulaipo
Diploma in Accounting
•	 Kaumba Jopepe
Certificate in Catering
•	 Jonah Lot
Certificate in Business
•	 Poo Sopyale
GENERAL PERFORMANCE
Hospital performance during the year
has amplified in demand due to an
increase in patient numbers.
This also demands for additional
human resources and supplies of goods
services to provide quality care for
patients.
We appreciate the public private
partnership support from the business
houses and individuals who have
contributed in one way or the other to
both ANGAU hospital and patients.
CHRISTMAS PARTY
The board and management recognised
the efforts of the entire hospital staff
with a morale-boosting and highly
appreciated Christmas party in
December.
CHALLENGES
Due to lack of discipline over the years,
we face some challenges that are
barriers for change in paving a way
forward for staff development. Some of
them are:
Staff reacting against disciplinary
action.
Managers being reluctant to hold
their supervisors accountable for
insubordination, non-performance or
negligence and vise-versa.
Staff not accepting change or
correction and keep on doing the wrong
things.
Several other glitches that are
attributing to substandard performance
are staff not adhering to the Public
Service Code of Ethics and the lack
of effective regulatory roles and
functions within the corporate services
directorate.
As a way forward, the corporate
services directorate wants to avoid all
kinds of corruptions, bribery, fraud,
nepotism, incompetence, red tape,
procedural bottlenecks and laziness
that are widespread in the civil service.
Therefore anyone within corporate
services directorate who is found to be
involved in these corrupt practices will
be strictly dealt with.
The penalties range from warnings to
dismissal.
A special word of thank you to all staff
who have contributed to a successful
operation for 2015 despite the
challenges.
I appeal for everyone’s cooperation in
giving the best services to our people of
Lae city and Papua New Guinea.
FRANK KENO
Acting Director Corporate Services
14 % of the
hospital’s running
cost is collected by
Internal Revenues
for services
provided to the
public
15
Our core function is to oversee the provision of high quality specialist patient care, and training of
doctors. We make sure that services are provided in accordance with the set standard operating
procedures and treatment guidelines.
Medical Services
ADMINISTRATION
The Medical clinical administration is
a full time job for the Director and the
Deputy Director Medical Services. The
DMS is the clinical advisor to the CEO
on administrative and policy matters as
well as coordinating all major clinical
units. The Deputy DMS coordinates all
clinical support services.
Secretarial and administrative support
services are made available within the
DMS office at all working hours to both
its staff and the public.
STAFF
ANGAU Hospital had 182 Medical
Services Staff in 2015, out of this:
•	 130 are on the Hospital’s
establishment
•	 45 are on the National Department
of Health positions, and
•	 5 on the MOROBE Provincial
Administration position.
The total number of Doctors working in
ANGAU Hospital is 56 and comprises of:
•	 24 Specialist Medical Officers
•	 22 Registrars
•	 7 Residents, and
•	 3 in full time administration.
The National Cancer Centre and the
National Orthotic and Prosthetic
Centres are also located in ANGAU
Hospital.
EMERGENCY DEPARTMENT (ED)
Emergency Section is ANGAU Hospital’s
main gateway or entry point to the
wards with the exception of expecting
mothers presenting with labour pains.
ANGAU Hospital’s Emergency section
continues to experience over flow with
none emergency patients that take up
too much time for our doctors which
can be better utilized to attend to
emergency cases.
ANGAU Hospital does not run an
Out-Patient Service; non-emergency
patients need to attend the nearest
Urban Clinic or the General Private
Practitioners in town. Those with
less serious cases could attend the
Specialist Consultation Clinics.
The total attendance at the ED was
43,825 in 2015.
Again this is an under reporting as not
all patients seen are recorded. Malaria,
Respiratory and Gastro intestinal illness
are among the common reasons for
ED attendance for both the Children &
adults.
Sixty percent (60%) ward admissions
were for obstetrics and gynaecology.
MEDICAL UNIT
The Medical Unit manages adult
patients with both infectious and
lifestyle disease. Adult lifestyle
diseases have equalled the traditionally
infectious diseases of the past.
Diabetes and hypertension seem to be
the leading causes of adult morbidity in
Lae.
The long term morbidity due to HIV/
AIDS & TB continues to block excess to
medical ward for other patients from ED.
It accounts for:
•	 60% of infectious disease and
•	 60% of all medical admissions.
Malaria also is still a prevalent disease
16
in LAE due largely to the heavy rain falls.
ANUA MORIRI (HIV) Day Care Centre
(AMDCC)
Anua Moriri Day Care centre is a day
clinic that coordinates all HIV/AIDS
services in LAE, MOROBE Province and
the MOMASE region.
It does counselling for HIV testing and
clinically manages HIV positive patients
on ART treatment.
The number of attendance at the Centre
was 6, 800, out of which:
•	 370 were new cases tested
•	 71 confirmed as HIV positive.
The overall new positive HIV/AIDS
cases for the MOROBE Province who
were tested and registered at ANGAU
Hospital was 387.
This is still an under reporting as many
people out there with HIV do not come
forward for personal reasons.
TB DOTS CLINIC
The Directly Observed TB Treatment (TB
DOTS) is a day clinic that opens during
working hours.
Screening of family members with TB,
confirming their diagnosis, commencing
them on the DOTS program and
registration all happen here.
It receives referrals from Health Centres,
Urban Clinics, Private Clinics, Church
Health Facilities and other sections of
ANGAU Hospital for confirmation of
Diagnosis, Treatment and Registration
before sent back to their nearest health
establishment to complete their DOTS
programs.
The children are managed by the
paediatricians after registration.
FRIENDS CLINIC (STD/STI)
The friends Clinic attends to all Sexually
Transmitted Disease except HIV/AIDS.
It is located on the first floor of GWARE
wing and operated in partnership with
NGOs and Provincial Disease Control
Unit.
PSYCHIATRIC (MENTAL HEALTH)
The psychiatric unit in ANGAU Hospital
is fortunate to have two experienced
Psychiatrist in 2014 & 2015.
The Lae community saw an increase
in the number of psychiatric patient’s
particularly young adults due to drug
abuse.
These two doctors are only able to treat
and manage patients brought to the
hospital by their parents and relatives,
the courts and the community who care
for them.
Due to bed space unavailability a
number of our patients were stabilised
then referred to LALOKI Psychiatric
Hospital. The management made
available the former
Gynaecology ward as the psychiatry
inpatient ward to contain some cost
and make it less inconvenient to our
patients.
SURGERY
The surgical unit admitted 1665 patients
through ED, the Children’s Out Patients
and the Surgical Clinics.
Trauma accounted for 70% of all
surgical admission in 2014 and dropped
to 50% in 2015.
The trend showed that male adolescent
and adults dominated the surgical
admission for that year.
The highest number of surgical
admissions was in April & November.
The number of surgical operations has
dropped down due to an increase the
number cases cancelled for various
reasons particularly shortage of nursing
man power and operating theatre space.
There were:
•	 152 appendicitis
•	 348 fractures, and
•	 60 penetrating chest and abdominal
injuries.
The shortage of bed space for surgery
was improved by moving into the
new A3/A4 ward which also relieved
the access block at the Emergency
Department.
At the surgical clinic 2,226 were
attended to for review as well as
medical reports.
EAR, NOSE & THROAT (ENT)
The Ear, Nose & Throat clinic is run by
Dr. Joseph Garap.
Attendance has increased that is
partly due to Dr. Garap’s ENT outreach
program and a general increase in ENT
cases in the community.
OPHTHALMOLOGY (EYE)
The Eye clinic has been in operation
since 1998 yet not many people of the
city are aware of its existence.
At the clinic does all eye examination,
eye testing for glasses as well as also
does minor surgery during the day and
patients allowed to go home.
The services offered here are basic with
cataract surgery as the main operation
performed on older people.
Eye infections ranks the highest cause
for eye clinic attendance.
PAEDIATRICS
The paediatric unit treats babies one
month old to 13 years admitted to the
main children’s ward through Children’s
Out Patient (COPD) and ED.
From 14 years to 17 years are not
covered and treated as adults in PNG.
In the future they will be classified as
adolescent in all hospitals around the
country.
The admitted children’s illness
distribution records malaria and
respiratory tract infection as the
significant cause of childhood morbidity
and mortality.
They account for almost 60% of the
reason for admissions to the paediatric
wards. Recently there has been an
increase in the number of TB cases
amongst children.
The total paediatric admission was
1,176.
NEONATOLOGY
The Special Care Nursery (SCN) cares
for sick new-born babies from birth to
one month of age.
The common causes of admission to
the SCN are complication of prematurity
at birth, birth asphyxia and Neonatal
The Emergency Department attendance
for 2015 was over 43,000 with
respiratory illness, malaria, trauma
and gastro intestinal problems as the
four most common problems.
17
Sepsis which together account for (80%)
of all admission to the Special Care
Nursery.
The total number of Neonates admitted
to the Special Care Nursery was 1,079.
CHILDREN’S OUTPATIENTS (COPD)
Children’s out patient is open to all
sick children through referrals from all
Urban Clinics and Provincial and District
hospitals throughout the Province and
the Momase region.
It opens seven days a week, from 9am
to 3pm daily for the week days and 9am
to 2pm on weekends.
The Children’s Out Patient attended an
increase in attendance from 25,639 to
27,714 sick children in 2014 and 2015
respectively.
This is an average of 2,300 per month,
that is 77 per day, thus puts a lot of
stress on the two hardworking Health
Extension Officers.
Common childhood illnesses presenting
to the Children’s Outpatient are malaria
and chest infection.
They account for almost 60% of the
causes for admission to the children’s
wards.
This year, the COPD immunised 8,102
babies and children.
PAEDIATRICS REVIEW & SPECIALISED
CLINICS
These clinics review ongoing
management of a variety childhood
illnesses like cardiology, neurology,
endocrinology, TB, Malnutrition.
The clinics are located in the children’s
out-patient building
OBSTETRICS AND GYNAECOLOGY
(MATERNITY)
The obstetrics & Gynaecology unit
caters for all our female reproductive
age population requiring obstetrics
care as well as disease associated
with the female reproductive system
(Gynaecology).
The trend in the reported figures
on maternal health indicators are
continuing to rise per year due to
an increase in the reproductive age
population in Lae and PNG.
ANGAU Memorial Hospital delivered
up to 9,241 babies; that is second only
to Port Moresby General Hospital. The
O&G clinics saw 2,820 women.
The total number of women operated
on for caesarean section and other
gynaecological illnesses in the main
operating theatre was 1,028.
ANAESTHETICS AND INTENSIVE CARE
SERVICES
Critical care of patients using life
support and monitoring equipment
and anaesthetising or putting patients
to sleep for all forms of surgery is the
responsibility of the anaesthetic staff.
The anaesthetic records show that 2,
170 patients were being operated on
by different doctors including visiting
surgeons.
RURAL AND URBAN OUTREACH
Public Health Specialist Dr. Menda
runs the Rural and Outreach program.
He visits 3 of the ten urban health
establishments within the Lae city for
convenience and safety of our Rural and
Urban Outreach vehicle.
He visits Malahang Clinic on Tuesdays,
Buimo Road Clinic on Wednesdays and
Milford Haven Clinic on Thursdays every
week.
On Mondays & Fridays he attends to
Family & Children’s Support Centre.
During the urban clinics visits, Dr.
Menda attended to 330 patients.
All other rural health centres/hospitals
were not visited due funding of
logistics constrains by the Provincial
Government.
DENTAL /ORAL HEALTH
Oral Health is both a hospital and
Provincial Health function which jointly
operates a clinic in top town.
There were two dental officers under the
provincial administration with qualified
Dental Therapist, Dental Technicians,
and dental orderlies that adds up to
Nine (9).
CANCER TREATMENT CENTRE/
RADIATION ONCOLOGY
The PNG Cancer treatment centre in Lae
offers mostly palliative radiation therapy
and chemotherapy to cancer patients
who usually present very late stage.
The treatment doses are prescribed by
the chief Radiation oncologist, Dr. John
Niblett.
PHYSIOTHERAPY
Physical rehabilitative therapy is
conducted by our highly skilled
physiotherapist on patients who
need exercises, massages and other
The table shows some statistic of patients attendance at ANGAU Hospital.
DEPARTMENT 2015 2014
General Attendance 100, 060 92, 774
Maternity Ward (Births) 9, 241 8, 332
TB DOTS Clinic 6, 805 6, 978
Friends Clinic (STD/STI) 2, 927 3, 150
Surgery 1, 243 2, 300
Ear, Nose & Throat 2, 182 1, 371
Ophthalmology 2, 719 2, 681
Children’s Outpatient (COPD) 27, 714 25, 639
Blood Bank 7, 417 5, 932
Autopsy 171 156
Note: These statistics is just a summary
Note: HIV positive
patients on ART are
sexually active and
having unprotected sex
thus presenting with
recurrent STI infections.
18
rehabilitative procedures.
Here, the patients are taught and trained
on self exercise to restore function and
to facilitate their recovery after injury or
surgery.
The physiotherapy unit attended to
1,131 patients with 2,884 physiotherapy
sessions conducted.
In the month of September over 132
patients were attended to with 190
physiotherapy sessions conducted.
FAMILY SUPPORT CENTRE/ WOMEN &
CHILDREN’S SUPPORT CENTRE
This facility was initially set up and run
by the MSF is an important service for
patients with gender based violence
against women and children.
Our facility attends to women, children
and men who were all victims of some
form of violence. The facility treats,
counsels and provides other supportive
care to the victims of violence.
A total of 995 patients were attended to
out of which 40 were male victims.
SOCIAL AND SPIRITUAL WELFARE
SERVICE
This service was not covered due to an
unavailability of a social worker.
Advertisements were posted and new
applicants have been short listed; by
2016 there will be full time social worker
who attends to patient’s social welfare.
NATIONAL ORTHOTIC AND
PROSTHETIC SERVICE (NOPS)
This is the supportive centre where
artificial limbs are manufactured for
individual patient needs; coffins too are
made and sold.
Fourteen National Orthotic and
Prosthetic staff members were year
marked to be transferred to the ANGAU
hospital structure when our new
restructure gets approval by DPM.
In 2014 NOPS fitted 455 artificial limbs
and in 2015 it fitted 713 artificial limbs,
sold 198 & 149 crutches respectively.
They also made and sold 128 coffins to
relatives of the deceased.
MORTUARY SERVICE
The Mortuary is a rundown facility
located behind the hospital where it
stores all dead bodies and conducts
post-mortem examination upon a
coroners request for medical legal
requirements. It has one cool room
indoors and two containerised freezers
for body storage. Unclaimed bodies
stored for over six months are given an
honourable mass burial by the hospital
with the assistance of the Lae City
Council.
AUTOPSY
Post-Mortem examinations (autopsies)
are routinely done by the pathologist,
Dr. Lucas Komnapi for all forensic cases
assisted by 2 morgue assistants, Peter
Wilson and Daru Koria.
On occasions the ED doctors stand
in and perform autopsies usually on
scheduled autopsy days that are after
12 midday on Tuesday and Thursdays.
There were one hundred and seventy
plus autopsies done with reports
compiled for the coroner.
BIOMEDICAL EQUIPMENT
ENGINEERING
The biomedical unit is an essential
part of any hospital function which
services and maintains all the medical
equipment in the hospital.
It is highly technical and ANGAU
Hospital is fortunate to have three
biomedical technicians.
MEDICAL LABORATORY
The medical laboratory’s core function
is to support clinicians in diagnosis and
assist clinicians in accurately managing
their patients by providing an up to date
and timely report on body specimens
collected and sent for analysis.
ANGAU Hospital offers Medical
Laboratory test for Biochemistry,
Haematology, Serology (HIV, Hepatitis
& Immunology), Microbiology and
Histopathology.
Below is an individual list of the number
of test conducted per section.
•	 Biochemistry - 77,316 tests
•	 Haematology - 263, 172
•	 Microbiology - 8, 263
•	 X-matches - 11,112
•	 Serology - 33,400
•	 Immunology - 256
•	 Histopathology - 434
•	 Cytopathology - 5,820
•	 TB Microscopy - 6,906
The total number of pathology tests
done at the laboratory was 418,123.
MALARIA LABORATORY
The malaria laboratory is an essential
diagnostic facility that is frequently
visited by many patients to confirm their
malaria diagnosis as it is a requirement
for the prescription of MALA 1 (anti-
malarial drug) treatment.
A total of 19, 103 blood slides were
processed at the malaria laboratory.
BLOOD BANK
The Blood Bank is a medical services
function that is run successfully by
nursing Officers which saw an increase
in attendance by donors.
A total of 5,181 bags were grouped and
made available for cross matching, out
of that only 2,554 patients received
3,035 bags of blood.
The blood bank staff members are
commended for keeping the hospital
well stocked with blood that had saved
many livesThe surgical team working on a patient with the assistance of a visiting nurse from the Changhui Christian
Hospital in Taiwan.
800
700
600
500
400
300
200
100
0
2014		 2015
Artificial Limbs Crutches Coffins
NOPS Data for the Number of Items Produced
19
MEDICAL IMAGING 	
Patient’s illness diagnosis is confirmed
with medical imaging like General
X-rays, Ultrasound Scan and CT scan.
The Unit has three conventional
X-ray machines, a manual X-ray Film
Processors and two CR machines as
well as an Ultrasound Scan. The CT
Scan installed was faulty after the
flooding.
A total of 17,553 x-ray films were taken
with 60 special examinations and 2,465
ultrasound examinations done.
PHARMACEUTICAL SERVICE
The hospital pharmacy gets its supplies
from the base medical stores in Lae
and distributes it to all clinical units
based on an internal request form
and dispensed to the public through a
doctor’s prescription form.
April and August recorded the highest
of 5,013 and 5,012 prescriptions.
A total of 53,804 prescriptions were
served at the hospital pharmacy with a
monthly average of 4,484 which is 224
prescriptions per day.
The consumption of pharmaceutical
products in Lae is surprisingly high.
Our hospital trust account funds
were exhausted when so many of the
basic and essential drugs like Quinine,
penicillin, arthermeter and many more
that were not supplied by the Base
Medical Stores.
The Hospital spent K682, 152.80 on
medical supplies and consumable due
to these short falls in the year.
The month of November recorded the
highest pharmaceutical expenditure
with K196, 768.
MEDICAL LIBRARY
Medical library provides reference
books and journals for all hospital
staff who wish to further their medical
training. It is not fully equipped now
but will be looked at when we move to
another location.
An internet cafe is planned which
will boost the flow of educational
information for all our staff.
MEDICAL RECORDS
Patient management records are stored
and tabled in the hospital’s Medical
Records Section where all hospital
statistics are collected and processed.
OUTSTANDING ISSUES
Medical and Pharmaceutical Supply
shortfalls had exhausted hospitals
funds and continues to do so due to
inadequate quantity issued to us by the
base medical stores.
Aging and non-functioning medical
equipment replacement stopped
progressing due to AusAID assistance
and the change in management.
The number of unclaimed dead bodies
stored at ANGAU Hospital appears to be
an ongoing case every year that requires
external assistance for burials.
The Lae city manager, Mr. Roy Kamen
had organised to have these bodies an
honourable rest at the Second Seven
Cemetery in Lae.
Our partners in LAE District Health,
HOUN GULF District Health and the
NAWAE District Health could assist by
opening their clinics at least during all
working hours.
The three Districts that share part of
the urban land boundary within the LAE
City need to increase their nursing staff
strength by creating more new nursing
positions in their structure as well as
HEO’s and Medical Officers to help take
some load off from ANGAU Hospital’s
Emergency Department.
The current man power at the ANGAU
Memorial Hospital is aging and a
workforce review is in progress to
address any short falls.
A review of the structure is currently
underway to address the staff shortage.
It is noted that shortfalls in the delivery
of services at ANGAU Hospital are
similar nationwide that cannot easily be
solved.
We also would like to pays tribute to Dr.
MARGARET NABLU, who tragically died
on the 12th of November, 2015.
DR. RUSO PERONI
Deputy Director Medical Services
This graph shows the number of items produced by the National Orthotic & Prosthetic Services
20
Whether serving as a nurse in an extended care facility, overseeing nursing assistants, or working
as part of a team in a large hospital, the demeanor of each nurse sets the tone for a the entire
environment.
Nursing Services
Year 2015 was another challenging year
for Nursing Directorate.
Again constrains such as inadequate
nursing manpower, inadequate medical
equipment, inadequate linens and
medical consumable for patient care
was experience by all wards/sections.
OBJECTIVES
Objectives achieved were:
•	 Occupation of new postnatal in
June 2015
•	 Occupation of gynaecology wards in
July 2015
•	 Occupation of new orthopaedic ward
in September 2015
MANPOWER
Twenty-one graduates from Lae School
of Nursing were employed on short
term contract immediately after their
graduation in April 2015.
They were placed on orientation roster
in certain wards/section of the hospital
and later placed in the ward rosters
according to manpower calculations.
INFECTION CONTROL ACTIVITIES
Infection Control activities were
implemented accordingly by respective
staff.
Purchased of cleaning items from
Australia to improve ward environment
thus contributing to patients being
nursed in a clean ward.
HEALTH EDUCATION ACTIVITIES
A. In reach Education Programs
conducted includes:
•	 Patients Education Program in all
units but staff need to participate
effectively in this programs
•	 Staff Health Education Training
programs
•	 Production of Health messages on
Posters/Pamphlets and lamination
•	 Colgate Palmolive staff were invited
to assist with Oral and Hand Hygiene
Awareness to patients in the
hospital
B. Outreach Education Programs
conducted includes:
•	 Assessment of Health needs in
East West Transport and Health
presentation topics were work
related stress and cancer. KK
Kingston presentations topics were
cancer in five different sites for the
company whilst Morobe Mining
presentation topics were on breast
cancer and HIV/AIDS.
C. Health Days Activities that were
observed:
•	 World Sight Day on 9th October 2015
•	 World Mental Health Day on 10th
October 2015
•	 Global Tooth Washing Day 30th
October 2015
•	 World AIDS Day on the 1st December
2015
NURSING STANDARD
Nursing Standard Section in
collaboration with Nursing Clinical
Practice Committee evaluated the
Clinical Nursing Procedure Manual,
review and standardise patient care
documents, examined wound dressing
techniques as well as conducting
21
nursing notes audit.
These task are yet to be completed
whilst the committee has completed
Resource Manual for Emergency
Department Nurses.
NURSING RESEARCH
Nursing Research workshop was
conducted by the Nursing Research
Officer in collaboration with Mr Telepo,
staff from University of Papua New
Guinea, and Professor Plumber, a
Overseas consultant at Melanesian
Hotel for a week.
The workshop was to enhance their
knowledge and skills in conducting
research in the respective wards
and write recommendations from
these researches to be presented
to the management for approval for
implementation.
TRAININGS
ANGAU Hospital was fortunate to have
nursing officers accepted for studies at
the following institutions.
UPNG - Bachelor of Clinical Nursing
•	 Sr Stephanie Damong
•	 Sr Julie Kitoneka
•	 Sr Nettie Warea
•	 Sr Rachel Synell
•	 Sr Tunu Osanu
•	 Sr Mary Nia
DWU - Health Management (external
studies)
•	 Mr Steven Polis
•	 Mr Steven Nawik
Overseas Studies - Midwifery
•	 Sr Cherolyn Pokawin
•	 Sr Jenelyn Norman
Other in-house training include bedside
and others respective trainings being
conducted.
Postgraduate students were assisted in
their clinical competencies practicum.
Clinical rotation were ongoing with two
staff from Mendi hospital attached to
the oncology unit.
NURSES CHRISTIAN FELLOWSHIP
Momase Regional Nurses Christian
Fellowship one week Convention was
hosted by Morobe Nurses in NARI
conference centre.
A significant number of ANGAU Nurses
participated in the Conference.
PSYCHIATRIC UNIT
Counselling of clients as outpatient
were conducted by the mental Nurses
and those aggressive clients were
admitted to medical ward and in
collaboration with Medical Officers,
these aggressive clients are sedated
and transferred to Laloki Psychiatric
Hospital.
To conclude I would like to mention
a special word of appreciation to all
nurses who have contributed towards
client care during the year.
SR. CONCILIA AMOL
Acting Director Nursing Services
Nursing Directorate
Total Staff is 308.
Nursing Officers
make up 210 and
CHW is 98 staff.
22
Financial
Statements
For Year Ended 31 December 2015
23
Table of Contents
Page
Declaration by Management 22
Consolidated Statement of Accumulated Funds 23
Consolidated Statement
Operating Account Statement 25
Trust Account Statement 26
Redevelopment Project Account Statement 27
Notes of the Accounts 28
24
In accordance with a resolution of the Board of the ANGAU Memorial General Hospital, being responsible for
approving the annual accounts, we state that:
a) The accompanying financial statements of the ANGAU Memorial General Hospital have been drawn up so as
to give a view of the receipts and payments of the Hospital for the year ended 31 December 2015.
b) This report has been prepared in accordance with the Finance Instructions 2/2004 issued under Section 117
of the Public Finance (Management) Act 1995 and the International Public Accounting Standard - Financial
Reporting Under Cash Basis of Accounting.
c) We certify that all records and books of account have been properly maintained.
d) We certify that the Statement of Receipts and Payments for the year ended 31 December 2015 is correct.
e) As at the date of this statement there are reasonable grounds to believe that the Hospital will be able to pay
its debts as and when they become due and payable.
On behalf of the Board
Signed in Lae this 21st day of September 2016
Declaration by Management
David Wissink
Chairman
Dr Chris Kenyhercz
Chief Executive Officer
Frank Keno
Director Corporate Services
25
CONSOLIDATED STATEMENT OF ACCUMULATED FUNDS
YEAR ENDING 31 DECEMBER 2015
FY2015
K
FY2014
K
Accumulated Funds brought forward 35,434,811 41,785,018
Operating surplus/(deficit) (994,474) (6,350,207)
Operating Accumulated Funds 34,440,337 35,434,811
This is presented by:
Current Assets
Operating Bank Account 15,278,371 20,558,811
Trust Bank Account 2,241,383 3,307,875
Redevelopment Account 16,920,583 11,568,125
Net Cash/Fund Available 34,440,337 35,434,811
26
CONSOLIDATED STATEMENT OF RECEIPTS & PAYMENTS
YEAR ENDED 31 DECEMBER 2015
2015
K
2014
K
RECEIPTS
Government grants - CFCs 18,500,642 17,857,230
Government grants - Cancer 0 60,485
Government grants - Projects 10,000,000 1,000,000
National Gaming Board 0 500,000
Other income 59,110 62,987
Family Support Centre 0 58,325
Hospital Fees 179,577 308,283
Housing Rental 185,580 183,766
Free Health Care Subsidy 0 1,150,000
Proceeds from Sale of Vehicle 0 46,000
Interest Income 2,529 1,532
Donations 30,000 0
Total receipts 21,228,608 21,330,190
27
2015
K
2014
K
Expenditure
112 Wages 3,693,026 3,140,669
113 Overtime 94,500 116,679
114 Leave fares 1,862,611 1,422,696
121 Travel & subsistence 783,213 210,267
122 Utilities 4,772,313 4,177,631
123 Office materials & supplies 443,106 383,544
124 Operating materials & supplies 3,805,534 3,828,686
125 Transport & fuel 471,397 380,380
126 Administration & consulting 148,192 -
127 Rental of properties 3,651,912 2,940,501
128 Routine maintenance 423,861 493,516
135 Other Operating Expenses 1,800,685	 1,530,953
136 Training 118,874 104,891
141 Retirement benefits & pensions 806,698 1,202,047
221 Office equipment 1,019,371 633,847
222 Purchase of vehicle 0 56,089
224 Plant & equipment 1,483,595 2,147,813
225 New construction, renovations 4,570,495 4,807,279
230 Interest Expense 2,529 1,532
Total expenditure 29, 951, 912 27,578,815
INCREASE/(DECREASE) IN CASH (994,474) (6,350,207)
Cash at Beginning of the Year 35, 434, 811 41, 785, 018
Increase/Decrease in Cash (994,474) (6,350, 018)
Year End Balance 34,440,337 35,434,811
28
OPERATING ACCOUNT
YEAR ENDED 31 DECEMBER 2015
2015
K
2014
K
RECEIPTS
Government grants - CFC's 18, 500, 642 17,857,230
Government grants - Cancer 0 60,485
National Gaming Board 0 500,000
Family Support Centre 0 58,325
Other income 21, 339 22,172
Transfer from Trust Account 0 56,089
Total receipts 18, 521, 981 18,554,301
EXPENDITURE
112 Wages 3, 616, 284 3,140,639
113 Overtime 94, 500 116,679
114 Leave fares 1, 862, 611 1,422,696
121 Travel & subsistence 768, 273 210,267
122 Utilities 4, 772, 313 4,173,236
123 Office materials & supplies 419, 493 340,854
124 Operating materials & supplies 2, 624, 126 2,908,723
125 Transport & fuel 462, 494 356,881
126 Administration & consulting 148, 192 0
127 Rental of properties 3, 633, 612 2,940,501
128 Routine maintenance 413, 754 486,491
135 Other Operating Account 1, 765, 683 1,405,417
136 Training 118, 874 104,891
141 Retirement benefits & pensions 806, 698 1,202,047
221 Office equipment 1, 019, 371 459,672
222 Purchase of vehicle 0 56,089
224 Plant & equipment 1, 276, 143 1,887,151
Total expenditure 23, 802, 421 21,212,234
INCREASE/(DECREASE) IN CASH 5, 280, 440 2, 657, 933
OPENING BALANCE 20, 558, 811 23, 216, 744
Increase/Decrease in Cash (5, 280, 440) (2, 657, 933)
Closing Balance 15,278,371 20,558,811
These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
29
2015
K
2014
K
RECEIPTS
Hospital fees 179, 577 308,283
Housing rentals 185, 580 183,766
Free Health Care Subsidy 0 1,150,000
Proceeds from sale of vehicles 0 46,000
Other income 37, 771 40,815
Interest Income 2, 529 1,532
Donation 30, 000 0
Total receipts 435, 457 1,730,396
EXPENDITURE
112 Travel & Subsistence 14, 940 0
122 Utilities 0 4,395
123 Office materials & supplies 23, 613 42,690
124 Operating materials & supplies 1, 181, 408 919,963
125 Transport & fuel 8, 903 23,499
127 Rental of Properties	 18, 300 0
128 Routine maintenance 10, 107 7,025
135 Other operating account 34, 697 125,361
221 Office equipment 0 174,175
224 Plant & equipment 207, 452 260,662
230 Interest Expense 2, 529 1, 532
300 Transfer to Operating Account 0 56, 089
Total expenditure 1, 501, 949 1, 615, 391
INCREASE/(DECREASE) IN CASH (1, 066, 492) 115, 005
OPENING CASH BALANCE 3, 307, 875 3, 192, 870
Increase/Decrease in Cash (1, 066, 492) 115, 005
Closing Cash Balance 2, 241, 383 3, 307, 875
TRUST ACCOUNT
YEAR ENDED 31 DECEMBER 2015
These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
30
2015
K
2014
K
Government Grants 10,000,000 1,000,000
Total Receipts 10,000,000 1,000,000
Expenditure
Nurses accommodation 0 (79,381)
Perimeter Fencing 350, 933 0
Emergency Works - Stage 1 (new wards) 3, 974, 127 2,781,466
Extensions to CT Scanner Room 197, 486 2,105,019
CT Scan Design Audit 33, 440 0
Renovations to Wards 1A, 1B & 1C	 14, 509 0
Salaries 76, 742 0
Bank fees 305 175
Total expenditure 4, 647, 542 4,807,279
INCREASE/(DECREASE) IN CASH 5, 352, 458 (3, 807, 279)
OPENING BALANCE 11, 568, 125 15, 375, 404
Increase/Decrease in Cash 5, 352, 458 (3, 807, 279)
Closing Balance 16, 920, 583 11,568,125
REDEVELOPMENT PROJECT ACCOUNT
YEAR ENDED 31 DECEMBER 2015
These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
31
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The ANGAU Memorial General Hospital provides primary health and hospital services to the people of Morobe
Province, mainly funded by the Government of Papua New Guinea. The objectives of the Hospital are to
•	 manage and maintain curative services
•	 improve standards of patients care
•	 provide training to medical students and other health staff, and
•	 provision of specials doctors in the hospital and in the rural area.
The ANGAU Memorial General Hospital is established under the Public Hospital Act 1994 which regulates the
services and functions of the hospital, its Board, its CEO and the appointment of its officers. The hospital is a
public body and reports under the Public Finances (Management) Act 1995.
1.1 Basis of Accounting
The financial statements are general purpose financial statements and have been prepared on a cash basis
of accounting in accordance with the International Public Sector Accounting Standard (IPSASs) - Financial
Reporting Under the Cash Basis of Accounting issued by the International Federation of Accountants.
The financial statements are in line with requirements for non-for-profit entities in Papua New Guinea as required
by the Finance Instructions 2/2004 issued under Section 117 of the Public Finances (Management) Act 1995.
The accounting policies set out below have been applied in preparing the financial statements for the year ended
31 December 2015.
The going concern basis was used to prepare the financial statements.
1.2 Basis of Consolidation
The financial statements incorporate operating bank account and other trust and project accounts.
The balances and effects of transactions between the accounts included in the financial report have been fully
consolidated. Separate records were maintained for each account:
(a) Operating Account with the BSP Bank; for the purpose of receiving government grants and used for
payments of personal emoluments, goods and services and other ongoing expenses and fixed assets such as
office equipment, plant & equipment and motor vehicles .
(b) Trust Account with BSP Bank : for the purpose of collecting patient fees, donations, house rentals and
other receipts. The money is used to pay for purchase of medical drugs, medical supplies and other operating
expenses.
(c) Project Redevelopment Account with BSP Bank; for managing funds for specific projects.
Project codes are assigned in the Hospital’s financial system that enables the Hospital to separately identify and
report on funds received for specific projects.
In many cases, this is necessary to meet contractual and accountability obligations imposed by funding
bodies. The project monies are placed in special bank account and expended in accordance with the terms of
government agreements. The monies are not available for other purposes.
1.3 Functional and Presentation Currency
The financial report is presented in Kinas.
1.4 Foreign Currency Transactions
Transactions denominated in a foreign currency are converted at the rate of exchange prevailing at the date of
the transaction.
1.5 Comparative figures
Where necessary, comparative figures have been adjusted to conform with changes in presentation in these
financial statements.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS
32
1.6 Cash at Bank
Cash at bank comprises cash on hand, cash at bank, deposits held at call and money market investments which
can be readily converted to cash. The Hospital does not operate a bank overdraft.
1.7 Receipts
Government Grants are recognized as revenue at the time the cash is received in the operating account. Patient
fees are recognised as revenue at the time when the cash is collected.
Appropriations and other cash receipts are deposited into its bank accounts and are controlled by the Hospital’s
Board.
1.8 Payments
Payments are recognized as expenses at the time the cheque is raised for payment.
1.9 Taxation
The Hospital is exempt from paying all types of taxes, including income tax. This is in accordance with the
Income Tax Act 1959, Section 24 Subsection A – Exemption of Public Authorities.
1.10 Events Since Balance Date
There is no event occurring after the balance date that could materially affect the financial position of the
Hospital as at 31 December 2015.
1.11 Economic Dependency
The Hospital is to a significant extent dependant on monies received from the Government to fund its
operations. In 2015, funding from Government represented 98.4% (2014: 94.5%) of the total receipts.
1.12 Payments by Other Government Entities – Department of Finance
The Hospital benefits from payments made by Department of Finance. These payments constitute cash receipts
and payments of the Hospital, and are controlled by the Hospital, as the Personal Emoluments have been
appropriated through the National Budget.
The International Public Sector Accounting Standard (IPSASs) - Financial Reporting Under the Cash Basis of
Accounting requires separate presentation of the Payments by Other Government Entities in the Consolidated
Statement of Receipts and Payments. These financial statements did not follow the requirement hence; it
represents a departure from IPSAS.
1.13 Comparative Figures
Financial statements have not yet been prepared for year ended 31 December 2013. However comparative
figures included in these financial statements have been extracted from the books and records of the Hospital.
Opening bank balances have been reconciled to bank statements at the beginning of the periods.
2. GOVERNMENT GRANTS
The Government provides grants to the Hospital through the Annual Budget and the Department of Health which
are received in the operating account to finance the Hospital’s operational requirements.
3. INTEREST INCOME
The Hospital earns a nominal amount of interest on the Hospital Trust Account held with BSP.
The interest income earned on the bank account of K2,529 was transferred by way of automatic direct debit to a
bank account nominated and controlled by Department of Health.
33
4. OTHER RECEIPTS
5. PERSONAL EMOLUMENTS
Personal Emoluments payments comprise all payments out of government appropriations centrally
administered by the Department of Finance, as well as payments from Operating Accounts, Trust Accounts and
Project accounts.
Note – Salaries & wages payments for permanent staff are paid directly through the Concept Payroll system.
Net salary payments are made direct from Department of Finance bank account and as such these amounts are
not processed through the ANGAU bank account. Payments made through Concept payroll must be added to
salaries & wages paid from the ANGAU bank accounts to determine total personal emoluments.
2015
K
2014
K
National Gaming Board 0 500,000
Family Support Centre 0 58,325
Hospital Fees 179, 577 308,283
Housing Rental 185, 580 183,766
Proceeds from Sale of Vehicles 0 46,000
Other income 59, 110 62,987
Donations 30, 000 0
Total 454,267 1,159,361
2015
K
2014
K
Payments from ANGAU Bank Accounts
Salaries and Allowances 3, 693, 026 3,140,669
Overtime 94, 500 116,679
Leave fares 1, 862, 611 1,422,696
Retirement Benefits, Gratuities and Retrenchments 806, 698 1,202,047
Salaries & Wages by Concept Payroll 23, 451, 589 21, 216, 842
Total 29, 908, 424 27, 098, 903
34
6. OFFICE MATERIALS & ADMINISTRATION
2015
K
2014
K
Administration & Consulting 148, 192 0
Transport and Fuel 471, 397 380,380
Office materials & supplies 443, 106 383,544
Training 118, 874 104,891
Total 1, 181, 569 868, 815
7. MEDICAL MATERIALS
The Hospital incurred costs in purchasing medical drugs and pharmaceutical products that are not readily
available in the Area Medical Store.
8. CAPITAL PAYMENTS
2015
K
2014
K
Office equipment 1, 019, 371 633,847
Motor vehicle 0 56,089
Plant & equipment 1, 483, 595 2,147,813
New construction & renovations 4, 570, 495 4,807,104
Total 7, 073, 461 7,644,853
9. OTHER PAYMENTS
2015
K
2014
K
Travel & subsistence 783, 213 210,267
Utilities 4, 772, 313 4,177,631
Operating materials & supplies 3, 805, 534 3,828,686
Rental of properties 3, 651, 912 2,940,501
Routine maintenance 423, 861 493,516
Other operating expenses 1, 800, 685 1,530,953
Total 15, 237, 518 13,181,554
35
10. CASH AT BANK
2015
K
2014
K
Operating account 15, 278, 371 20,558,811
Trust account 2, 241, 383 3,307,875
Project Redevelopment Account 17, 361, 240 11,568,125
Total 34, 880, 994 35,434,811
11. RELATED PARTY TRANSACTIONS
The key management personnel (as defined by IPSAS 20 Related Party Disclosure) of the Hospital are the
Minister, Secretary of Department of Health, members of the Board and the members of the senior management
group.
The Minister is not remunerated by the Hospital. The aggregate remuneration of the Board members and the
number of members determined on an annual basis receiving remuneration are:
Aggregate Remuneration: K76,975
Number of members 	 5 persons
Note – There are 9 members of the Board of ANGAU Memorial General Hospital. Of these, 4 members are
public servants and do not received any additional remuneration for their duties as Board Members. The other
5 Board members receive remuneration which is detailed above. It should be noted that the payment of 2014
remuneration was paid in FY2015, along with the payment of stipends allowances for half year to June 2015.
The senior management group consist of the Chief Executive Officer, Director of Corporate Services , Director of
Medical Services and Director of Nursing Services. The aggregated remuneration of the members of the senior
management group and the number of managers on an annual basis receiving remuneration are:
Aggregate Remuneration: 	 K 1,390,230
Number of persons 	 4 persons
12. COMMITMENTS
Commitments for future expenditure include operating and capital commitments arising from contracts. These
commitments are disclosed when considered appropriate and provide additional relevant information to users.
The following are significant contracts entered with suppliers:
All amounts shown in the commitments note are nominal amounts inclusive of GST.
In the normal course of business, the Hospital does not lease facilities, hence there are no minimum lease
payments under lease agreements are not detailed in this note.
13. CONTINGENT ASSETS AND CONTINGENT LIABILITIES
Contingent assets and contingent liabilities are not recognised in the statement of Receipts and Payments,
but are disclosed by way of note and, if quantifiable, are measured at nominal value. Contingent assets and
contingent liabilities are presented inclusive of GST receivable or payable respectively.
2015
K
2014
K
Hornibrook NGI 0 3,710,295
Total 0 3,710,295
36
Appendix A
Nursing Services Directo
NURSING OFFICERS
1.	 Sr Concilia Amol
2.	 Sr Dianne Samai
3.	 Mr Henry Kepas
4.	 Sr Bing Titus
5.	 Sr Marian Minnala
6.	 Sr Udy Nombe
7.	 Mr Duta Yema
8.	 Mr Steven Polis
9.	 Sr Pessie Kereng
10.	 Mr Ian Payau
11.	 Sr Silames Benson
12.	 Sr Jenelyn Norman
13.	 Sr Margaret Lalo
14.	 Sr Julie Naimini
15.	 Margaret Toyen - Secretary
16.	 Lahiamori Ilaura - Clerk
17.	 Sr Kwim Nicholas
18.	 Sr Julie Kitoneka
19.	 Sr Wilma Sebby
20.	 Sr Joan Jinangi
21.	 Sr Doreen Pepi
22.	 Sr Margaret Tuk
23.	 Sr Cathy Wanwanji
24.	 Sr Daisy Langu
25.	 Sr Joyce Job
26.	 Sr Henny Moses
27.	 Mr Norman Atam
28.	 Sr Heligah Kenny
29.	 Sr Talitha Neri
30.	 Sr Rose Mathias
31.	 Mr Yangi Emas
32.	 Sr Jenelie Nanguan
33.	 Sr Judith Timmy
34.	 Sr Zukewe Alinke
35.	 Sr Jenny Wesly
36.	 Sr Stella Aundambui
37.	 Sr Sandra Oneyedikachi
38.	 Sr Jacinta Rimbau
39.	 Sr Regina Kura
40.	 Mr Jessie Som
41.	 Sr Rubbie Bill
42.	 Sr Doniah Pemu
43.	 Mr Katon Klawin
44.	 Sr Maria Andrew
45.	 Sr Priscilla Kaivavore
46.	 Sr Waku Albert
47.	 Sr Dorothy Wangiomie
48.	 Sr Gungayong Bonny
49.	 Sr Anna Masa
50.	 Sr Mirri Waekesa
51.	 Sr Debora Yakam
52.	 Sr Lydia Kawi
53.	 Mr Matson Aru
54.	 Sr Blendinah Jim
55.	 Sr Lydia Bokum
56.	 Sr Julian Pauliat
57.	 Sr Martha Kela
58.	 Sr Dorcas Botty
59.	 Sr Dora Wai
60.	 Sr Shallyn Kali
61.	 Mr Michael Lalam
62.	 Mr Solomon Toap
63.	 Sr Melisha Wilbert
64.	 Sr Teba Anteria
65.	 Sr Mirry Aripa
66.	 Sr Betty Mundua
67.	 Sr Mary Didar
68.	 Sr Esther Molian
69.	 Sr Lespina Mais
70.	 Sr Jane Ambi
71.	 Sr Malina Wee
72.	 Sr Agnes Nesat
73.	 Sr Nane Buni
74.	 Sr Josephine George
75.	 Sr Anita Karis Nghang
76.	 Sr Dulcie Darius
77.	 Sr Sandy Kongos
78.	 Sr Florence Nick
79.	 Sr Esther Okona
80.	 Sr Rachel Saria
81.	 Sr Tomittila Lucas
82.	 Sr Tenny Onum
83.	 Sr Elsie Bomai
84.	 Sr Margaret Kissam
85.	 Sr Gabby Maran Akui
86.	 Sr Mildred Jack
87.	 Sr Rhonda Valuka
88.	 Sr Clare N’Drill
89.	 Sr Maine Lipen
90.	 Sr Delma Larake
91.	 Sr Jacinta Kiwen
92.	 Sr Lilly Wargem
93.	 Sr Leah Mariwo
94.	 Sr Theresia Wangisause
95.	 Sr Ursula Meyolisa
96.	 Sr Regina Duma
97.	 Sr Tuno Osanu
98.	 Sr Benita Addy
99.	 Sr June Gebob
100.	Sr Michaelyn Willy
101.	Sr Everlyn Mondo
37
orate
102.	Sr Nonga Igonte
103.	Mr Balmer Peter
104.	Sr Anna Numbos
COMMUNITY HEALTH WORKERS
105.	Osaguto Nanako
106.	Medlyn Inamba
107.	Raphael Erike
108.	Lesty Boken
109.	Ray Kii
110.	Eilyne Makale
111.	 Jane Bana
112.	Pindary Yapane
113.	Dellyn Derevi
114.	Bora Makas
115.	Owise Uri
116.	Pakila Gomang
117.	 Miricah Koyong
118.	Alena Galis
119.	Monica Suruka
120.	Andung Ziongi
121.	Wendy Toto
122.	Elaingo Jessy
123.	Ruby Kens
124.	Matilda Lelesi
125.	Thomas Menga
126.	Nini Paul
127.	Jacinta Kitawal
128.	Joyce Impmawara
129.	Terrah Mote
130.	Emma Benny
131.	Joan Gau
132.	Bertha Apiwae
133.	Marieta Gaspa
134.	Isabelah Koiap
135.	Jansom Yapiyana
136.	Roselyn Nauma
137.	India Lase
138.	Ralup Samoa
139.	Justine Kupe
140.	Monica Aiyap
141.	Betty Isari
142.	Joyce Buckley
143.	Bob Anua
144.	Guebiang Siawong
145.	Yatosao Tibong
146.	Helen Luke
147.	Esneth Kalang
148.	Mofa Jama
149.	Nancy Roenang
150.	Leah Sawefa
151.	Ayung Saira
152.	Shirley Kerowa
153.	Sala Kundi
154.	Lynette Ioane
155.	Melvin Lombo
156.	Colillyan Vaso
157.	Joshua Baza
158.	Jockyn Amoi
159.	Nellie Sariwa Lamit
160.	Brian Maulamu
161.	Sasa Josephine Michael
162.	Menilla Setu
163.	Mary Marks
164.	Oslai Lucas
165.	Dulcie Filson
166.	David Waesa
167.	Miriam Moi
168.	John Essengent
169.	Marion Anthony
170.	Prudence Noese
171.	Anna Baka
172.	Nora Mijikomu
173.	Rose Katu
174.	Enepa Robinson
175.	Tigas Munpange
176.	Susan Hiwi
177.	Alice Kuri
178.	Sela Omae
179.	Veronica Wapali
180.	Philip Anapa
181.	Tabby Asok
182.	David Kaiku
183.	Tino Antiko
184.	Elizabeth Louis
185.	Zimory Silo
186.	Martha Kewa
187.	Botty Aiau
188.	Serina Intombe
189.	David Kaiku
190.	Cherly Warapen
191.	Anita Maisa
192.	Riannah Bayang
193.	Robin Nezave
194.	Sharon Jackson
195.	Dell Abari
196.	Jacinta Kitawal
197.	Qataneuo Lombo
198.	Alebo Malawaku
199.	Kesly Benny
200.	Veronica Wapali
201.	Carolyn Lunga
202.	Saki Kiri
38
MEDICAL ADMINISTRATION
Director Medical Services - Songli
Soctine
Deputy Director Medical Services - Ruso
Perone
Executive Secretary - Lawrencia Tukou
Admin Assistant - Florence Ulaipo
(attached to pharmacy)
Admin Assistant - Alice Essai
Admin Assistant - Sandra Mali (attached
to X-ray)
Librarian - Rita Samo
Clerk - Joan Bosko
EMERGENCY UNIT
Dr. Alex Peawi - Emergency Physician
Dr. Enename Susuke - Training Registrar
Rotating
Dr. Moses Ludafoa - Registrar
Dr. Dela Pukatou - Registrar Covering
Staff Clinic/Medical Exams
Dr. John Pesh - Registrar
Dr. Michael Garuai - Senior Service
Registrar
MEDICAL UNIT
Dr. Bernard Belari - Senior Specialist
Medical officer
Dr. Cathy Timothy - Specialist Medical
Officer
Dr. Kenneth Sodeng - Specialist Medical
Officer
Dr. Kare Seki - Registrar
Dr. Solomon Mara - Registrar
Dr. Lillian Pama - Registrar
TB DOTS CLINIC
HEO - Lingyam Bumbu
ANNUA MORIRI (HIV) DAY CARE
CENTRE
Dr. E. Ryan - Regional Medical Officer
NDoH
STD/STI FRIENDS CLINIC
HEO Lucy Daley
PSYCHIATRY UNIT
Dr. Goiba Tienang - Chief Psychiatrist
Dr. Chamilou Posanou - Psychiatrist
Surgical Unit
Dr. Steven James - SMO-General
Surgery
Dr. Simon Kasa - SMO-General Surgery
& Urologist
Dr. Alphonse Rongap (Jnr) - SMO-
General Surgery
Dr. David Nangen - Registrar (M. Med
Part II)
Dr. Chris Munguas - Registrar (M. Med
Part II)
Dr. Barry Mutan - Registrar
Dr. Michael Maiti - Registrar
EAR, NOSE & THROAT
Dr Joseph Garap - SMO - ENT
OPHTHALMOLOGY
Dr C. Aulong - SMO - Ophthalmologist
Dr Susie Kiene - Registrar
PAEDIATRICS/NEONATOLOGY
Dr. Theresa Rongap	 - SSMO –
Paediatrics
Dr. Alphonse Rongap (Snr) - SMO –
Paediatrics
Dr. Francisca - SMO – Paediatrics
DR. Joshua Kwam - Registrar
Dr. Petroneous Tovirika - Registrar
Dr. Margaret Nablu - Registrar
CHILDREN’S OUTPATIENT UNIT
HEO Sarieng Steward PAU	
HEO Esther KAWANG	
OBSTETRICS AND GYNAECOLOGY
(MATERNITY)
Dr. Leo Winuan - SMO – O&G
Dr. Joseph Mondo Jnr - SMO – O&G
Dr. John Ropen - Senior Service
Registrar
Dr. Francisca Kopunye - Registrar
Dr. Magdalene Jaungere - Registrar
HEO Michael Totil - HEO covering
Antenatal/Postnatal wards
ANAESTHETICS AND INTENSIVE CARE
SERVICE
Dr. K. Temo - Specialist Medical Officer
(Transferred to PMGH in January 2016)
Dr. D. Aisi - Registrar
Dr. I. Amaki - Registrar
Dr. K. Leafasia - Registrar
Theo Suma - Anaesthetic Scientific
Officer
Andrew Thomas - Anaesthetic Scientific
Officer
Jenifer Awa - Anaesthetic Scientific
Officer
Dorothy Ilumi - Anaesthetic Scientific
Officer
Jack Makandao - Anaesthetic Scientific
Officer
Lydia Kuso - Anaesthetic Nurse
Thecla Merai - Anaesthetic Nurse
DENTAL /ORAL HEALTH
Cecilia Embe - Dental Therapist
Sebu Lamang - Dental Therapist
Fred Sebastian - Dental Technician
Jacob Nuka - Dental Assistant
Gemoring Ereng - Dental Assistant
Yamos Kukuone - Dental Assistant
(unattached officer)
CANCER TREATMENT CENTRE
Dr. John Niblett - Chief Radiation
Oncologist
Dr. Deepak Ghimire - Senior Radiation
Oncologist
Dr. Manna Ario - Senior Registrar
attached to PMGH
Dr. Alfred Mel - Senior Registrar
Becky Pais - Senior Radiation Therapist
Julie Cecil - Radiation Therapist
Fore Samandingke - Radiation Therapist
Appendix A
Medical Services Directo
39
Yanam Ngadup - Nursing Officer
Geob Ngabalu - Nursing Officer
Kealing Iwaki - Nurse
Martha Lucas - Admin Assistant
Yarlu Timothy - Admin assistant
PHYSIOTHERAPY
Bafigu Don - Physiotherapist in Charge
Mullah Palambu - Physiotherapy
Assistant
Samuel Seki - Physiotherapy Assistant
FAMILY SUPPORT CENTRE / WOMEN &
CHILDREN’S SUPPORT CENTRE 	 	
Dr. L. Menda - Supervisor
Theodora Suma - Clinical HEO
Fay Dora Ikasa - Social Worker
National Orthotic and Prosthetic Service
(NOPS)
Rex Larry - Admin Officer
Trinty Jill Anthony - Admin Assistant
Levuan Yowana - Prosthetist & Orthotist
OIC
Solo Wasop - Prosthetist & Orthotist
Scotty watanikam - Prosthetist &
Orthotist
Mesurin Isako - Workshop Supervisor
Ronald Arku - Prosthetist Technician
Robin Dail - Orthotic Technician
Sammy Imatana - P/O Technician
Augustine Kusu - P/O Technician
Begula Gulali - P/O Technician
Benson Zheru - P/O Technician
Martin Tiden - Joinery Technician
Lemok Tiriong - Joinery Technician
MORTUARY SERVICE
Peter Wilson - Morgue Attendant
Daru Koria - Morgue Attendant
Biomedical Equipment Engineering
Bannah Essai - Biomedical Technician
Alex Eroro - Biomedical Technician
John Geregl Wagl - Biomedical
Technician
MEDICAL LABORATORY
Dr. Lucas Komnapi - Pathologist
(Microbiology)
Joseph So’on - Scientific Officer &
Laboratory Manager
Peggy Benjamin - Medical Laboratory
Technician
Moses Kirau - Medical Laboratory
Scientific Officer		
Albert Keu - Medical Laboratory
Technician
Malum Tagabi - Medical Laboratory
Technician
John Sosopai - Medical Laboratory
Assistant
Robin Peter - Medical Laboratory
Assistant
Lydia Ulne - Medical Laboratory
Assistant
Sam Nisoa - Medical Laboratory
Assistant
MEDICAL IMAGING
Dr. B. Finkeo - Radiologist In charge
Tutty Selan - Medical Technologist In-
Charge
Lillian Kenjue - Medical Technologist
Lillian John - Medical Technologist
Lucille Worealevi - Medical Technologist
Rebecca Raim - Medical Technologist
(on Study Leave)
Bernard George - Medical Imaging
Assistant
Luaine Wosae - Medical Imaging
Assistant
Henry Luke - Medical Imaging Assistant
Ilomai Anasi - Medical Imaging
Assistant
Sandra Mali - Administrative Assistant
PHARMACEUTICAL SERVICE
Sebastian Mirinu - Pharmacist
Adrian Pumwa - Pharmacist
Betsina Bon Sodeng - Pharmacist
Jane Kanes - Pharmacy Technician
Julie Kisokau - Pharmacy Technician
Roselyn Kwiwa - Pharmacy Technician
Robert Nul - Store man
James Kelaga - Store man
Lenuinie Bonnie - Store man
Cynthia Kusa - Admin. Assistant	
Florence Ulaipo - Admin. Assistant
MEDICAL RECORDS
Isidor Pais - Information Manager	
Sonethan Ngahan - Information
Officer	
Wiyawato Amono - Admission Officer
Lorna Theo - Death Registry Clerk	
Ilai Misek - Medical Record Registry
Clerk	
Susan Niaru - Medical Record Registry
Clerk
JessieTopiong - Medical Record
Registry Clerk
Delma Moro - Medical Record Registry
Clerk
Jessy John - Medical Record Registry
Clerk
Joseph Payau - Medical Record Registry
Clerk
Malum Geowa Teta - Medical Record
Registry Clerk
Joyce Tasin Nabo - Medical Record
Registry Clerk
Yvonne Mara - Medical Record Registry
Clerk
URBAN & RURAL HEALTH OUTREACH
Dr. L. Menda - SMO (Public Health)
orate
40
DR. MARGARET NABLU
ANGAU Hospital also lost one of its longest
serving staff member and doctor; the late Dr
Songli Zimoc Soctine.
Dr Soctine took up the post at ANGAU and served
the people of Morobe for the last another 28
years. He served in his capacity as the Director
for Medical Services. Some of his achievements
include:
•	 Receiving the young gynaecologist of the
year award in 1990.
•	 Acting medical superintendent in 1992 - 1993
•	 Medical superintendent in 1994 - 1995
•	 Acting CEO in 1997
•	 Deputy Director Medical Services from 1997 -
1998, 2002 - 2005
•	 Director Medical Services from 2005 - 2016
Dr. Soctine was dedicated to his job as the
Director of Medical Services and devoted to
ANGAU hospital until his passing.
DR. SONGLI ZIMOC SOCTINE
DR. MARGARET NABLU was one of the upcoming
paediatric doctors of this decade until her
passing.
Dr. Margaret Nablu commenced work at ANGAU
in 2011 after completing her residency as a
paediatric registrar and a long attachment to the
hospital as part of her medical study.
She was dedicated to her job as the medical
officer. Her level of commitment was astounding
that she would be on call at least three times a
week.
Dr. Nablu was a member of the paediatric society,
Women Doctors Association and many other
groups as well as the paediatric unit very own
initiative called Acts 29 that provides additional
care for patients and carers within that unit of
the hospital. Dr. Nablu tragically passed away in
November, 2015.
We take this time to pay special tribute to our staff who have given their services to ANGAU
Hospital and the people of Morobe. We would like to remember especially our three selfless
doctors.
Special Tribute
DR. ALPHONSE RONGAP (SNR)
The loss is not just for the family but for ANGAU
Hospital and the country as a whole.
Dr. Rongap senior was a very experienced
paediatrician and another long serving staff
member.
His life is a legacy that will continue in the lives of
the people he has touched. This was confirmed
by his family and student doctors through
his honorary lecturing career as well as other
countless patients and colleagues he came into
contact with during his career as a doctor and
paediatrician.
•	 Dr. Rongap senior served the hospital for 30
years. Some of the highlights of his career
are:
•	 Acting medical superintendent at Goroka
Base Hospital in 1986/1989
•	 Attainment of a Masters Degree in Medicine -
Paediatric in 1987
•	 Honorary lecturer in Child Health at UPNG
Medical Faculty from 1987 to 2016.
•	 Appointed as regional paediatrician for the
highlands region in 1990
•	 Appointed as the medical superintendent
and SMO paediatrician for Boram General
Hospital in 1993
•	 Joined ANGAU as the Medical Services
Director in 1995 to 1999 after which he didn’t
reapply but concentrated on his duties as
an SMO and building the paediatric unit of
ANGAU Hospital.
•	 He was also serving as the Vice President of
the National Doctors Association.
He dedicated his life to public service of this
country. He believed in it and he believed in the
general orders.He influenced everyone he come
across to become a doctor. It was his passion.
From the family to everyone is to keep the good
memories.
May you rest in eternal peace.
41
Acts 29 - Paediatric Team at
ANGAU Hospital
Angau Angels Foundation
Australian High Commission
Bank South Pacific
Buimo Correctional Institute
Bumayoug Lutheran
Secondary School
Cancer Foundation
Cancer Relief Society
Changhui Christian Hospital -
Taiwan
Christian Revival Crusade Lae
Church of Christ of Latter Day
Saints Lae
Datec Lae
Digicel PNG Ltd
Daikin PNG
Dr. John & Andrea Niblett
Ela Motors Lae
Fijian Community of Lae
Guard Dog Security Services
Hornibrook NGI Limited
Health & HIV Service
Implemention Provider
Huon Gulf Rotary Club
Interplast - Australia & New
Zealand
JDA Applus Velosi PNG
Kina Bank
KK Kingston Ltd
Kuima Security Services
Lae Biscuit Company
Lae Builders & Contractors
Lae City Council
Lae International Hotel
Lae Lions Club
Lae School Of Nursing
LD Logistics
Nurses Christian Fellowship
Lutheran Church
Mainland Holdings -
Tablebirds
Marie Stopes Lae
Meddent Medical Services
Medical Equipment
Maintenance Project
Morobe Mining Joint Venture
Morobe Midwifery
Association Branch
Morobe Nurses Association
Branch
Morobe Provincial
Government
Morobe Provincial Health
Division
National Broadcasting
Cooperation
National Department of
Health
National Fisheries Authority
National Government
NARI
NKW Group
Panamax Lae
Papindo Lae
Philippines Community in Lae
PM O’Niell Foundation
PNG Tribal Foundation
Prima SmallGoods
Prime Travel Services
Remington Lae
Soroptomist International Lae
Summer Institute of
Lingustics PNG
Telikom PNG
Technical Enabling Unit -
Cardno
TSCF for Secondary Schools
in Morobe
University of PNG - Medical
Faculty
University of Technology
WAP & Company Security
Services
VSO
Westpac Bank
World Health Organization
World Vision International Lae
Yamgar Investment
The board members, management and staff would like to thank the following people and
organisations for your support to the hospital in 2015.
Thank you
2015 Annual Report

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2015 Annual Report

  • 2.
  • 3. Overview ............................................................... Vision ..................................................................... Chairman’s Report .............................................. CEO’s Report ........................................................ Organisation Structure ....................................... Board and Management .................................... Corporate Services Report ................................ Medical Services Report .................................... Nursing Services Report .................................... Financial Statements .......................................... Appendixes ............................................................ Special Tribute ...................................................... Acknowledgements ............................................. CONTENTS 02 03 06 08 10 12 13 15 20 22 36 40 41
  • 4. 2 Population growth rate in Lae and Morobe province is assumed to be 3.1% per annually and 2.8% for the Momase Region Overview POPULATION ANGAU Memorial General Hospital is located in the city of Lae, Papua New Guinea. Lae is both a city and a district within Morobe Province and is part of four provinces that make up the Momase region. The ANGAU Hospital serves as a district hospital for the 149,000 residents of Lae, a provincial hospital for over 675, 000 residents of Morobe and a regional referral hospital for 1.9 million people in the Momase and regions. In addition, given its location and transport linkages, ANGAU also provides services to the highlands region of Papua New Guinea. Population growth in Lae and Morobe is assumed to be 3.1 percent annually and 2.8 percent for the population of the Momase region1 . BACKGROUND The hospital was officially opened on 1  Population projection for Momase Region to 2015 based on 2011 PNG Census April 7, 1964. ANGAU is the acronym for the Australia New Guinea Administrative Unit. It was a unit set up during World War II but later was incorporated as an independent legal entity under Section 6 of the Public Hospital Act. MANAGEMENT ANGAU hospital has a governing body that consist of thirteen board members with one chair, a deputy chair and seven board members. The Board is also supported by four full time members of the executive management team which is the Chief Executive Officer and three Directors. To Strive for Excellence in the Provision of Caring Services for the Wellness of the Community and Participation in Professional Development and Training of Health Staff.
  • 5. 3 To develop the hospital into a centre of excellence for the provision of quality tertiary health service and meeting the national and international standards. Our Vision
  • 6. 4 Our Values Mission Statement Our Mission Statement, Values and Strategy CLIENT FIRST STAFF DEVELOPMENT RESULT BASED To strive for excellence in the provision of caring for the wellness of the community. Participation in professional and development training of health staff. To improve and maintain the health and well being of all who access our services. Access in delivery of caring services. Responsible management of resources. Community participation.
  • 7. EXCELLENCE IN DELIVERY OF CARING SERVICES Support staff professional development. Empower our health staff with skills, authority and responsibility to deliver the services in an efficient and effective way. That we offer our health staff with adequate opportunity and support to enhance their skills and recognition of the fact that motivated and skilled staff are the organizations greatest asset. RESPONSIBLE MANAGEMENT OF RESOURCES Ensure that there is a balance for the needs of our clients and the organization’s needs to remain economically viable without compromising the Public Hospital Standards. COMMUNITY PARTICIPATION Encourage local community participation in planning and in decision-making process in and feedback to the hospital in relation to hospital services. GOALS • Improving Health • Improving Quality and Customer Focus • Improving Resource Management Improving Health Achieve the best possible health results with available resources. Improve the level of the hospital’s hygiene and cleanliness to the highest standard possible. Improving Quality and Customer Focus Build a Management and Facilities Environment, which promotes and supports continuous quality improvements and is customer focused. Ensure community participation in planning, development and evaluation of hospital services. Develop greater linkages and effective partnerships between the Hospital and Provincial Health Services and other service providers. Establish mechanisms to identify issues for joint attention and explore ways to strengthen primary care services and facilities. IMPROVING RESOURCE MANAGEMENT Develop workforce planning and other human resource initiative to ensure a well trained flexible and motivated workforce. Apply workforce planning at all levels and enhance performance through development of managers and staff. Develop and implement a hospital facilities master plan including achievements of a new hospital. ANNUAL PUBLIC MEETING AND ANNUAL REPORT The annual pubic meeting is held once each calendar year in accordance with provisions of the hospital’s By Laws and the Act. Notice is publicly advertised a month prior to the meeting. The Public Hospital Act 1995 (Amended) requires that the hospital furnish to the Minister for Health an annual report on the progress and performance of the Board of Management including audited financial statements. This Annual Report for 2015 is presented in compliance with this statute requirements. Financial statements of receipts and payments for 2015 presented in this report are yet to be audited by the Auditor Generals Office. Publications produced by the hospital that deals with functions, powers, duties and activities of the hospital are: • The Annual Report and Financial Statements • The Hospital By Laws • The Organization and Committee Structure of the hospital • The Hospital Strategy Plan
  • 8. 6 Welcome to the 2015 Annual Report for ANGAU Memorial General Hospital. This past year was a year of significant activity for ANGAU with new facilities constructed by the Government of Papua New Guinea, work commencing on the initial phases of the redevelopment plan for the hospital as per the Joint Understanding between the Governments of Papua New Guinea and Australia, the continuation of a number of productive partnerships with like-minded organisations and the appointment of a new Chief Executive Officer. I would like to give credit to the hardworking management and staff of ANGAU who have had to work under great pressure in sometimes extreme conditions to provide quality health care to our patients. The projects currently underway are being staged accordingly and will see ANGAU through the transition to a revitalised hospital facility over the next few years however given the shortfall in available funds from the PNG Government, the master planning process for the redevelopment of ANGAU is being revised to make the most efficient use of the funding that is now available. The master planning process remains an inclusive process with significant stakeholder engagement during the design phases of the project. The project is controlled by a Steering Committee made up of key stakeholders including myself and the ANGAU CEO. This work will eventually result in a revitalised facility of which will be able to address the health care needs of Morobe and the region. In addition to the new facilities at ANGAU, we have had agreement that funding would also be put into selected district hospitals in the Morobe Province. For those of you who have visited ANGAU, you will know it is overcrowded and as such we are working with the Morobe Province, the National Department of Health, and the Government of Australia to ensure that selected district health facilities, which include urban clinics in and around Lae, have the capacity to treat basic health issues so instead of coming to Lae patients can be treated where they live. Partnering with stakeholders is of key importance to ANGAU for staff development and once again this past year saw reciprocal visits between Chairman’s Report To provide caring services for the wellbeing of the community.
  • 9. 7 ANGAU staff and the Changhua Christian Hospital in Taiwan. The significant donation of a new blood mobile from the Huon Gulf Rotary Club was thankfully received by the hospital and will greatly assist the Blood Bank team to collect blood from local business houses whose employees have been most generous with their donations. Another significant donation of a 40- foot container of medical supplies was gratefully received from the PNG Tribal Foundation with logistical assistance from ExxonMobil. In July 2015, we welcomed Dr Christopher Kenyhercz, along with his wife Marsha, as ANGAU’s new CEO in July 2015. Dr Kenyhercz’s extensive international hospital management skills will serve the hospital well in the years to come. Over the course of 2015, ANGAU also undertook an extensive audit program to rectify governance issues which have plagued ANGAU in the past several years. This will allow the Board of Management and the hospital’s management team to focus on patient care and providing the facilities as well as a new level of health care service of which Lae, Morobe, the Momase Region and Papua New Guinea can be proud. Tragically, ANGAU has lost three dedicated staff members during the year with the passing of Dr. Alphonse Rongap, Dr. Songli Soctine, and Dr. Margaret Nablu. May their souls rest in eternal peace and may their families find comfort that they are now with their Heavenly Father. We thank you all for your support of ANGAU and may God Bless each and every one of you. DAVID WISSINK Chairman
  • 10. 8 This year has seen many positive changes in the leadership and management of ANGAU hospital. The board of management appointed me as the new CEO to replace Acting CEO, Dr. Abraham. A formal handover took place in July to farewell Dr. Abraham and receive me into office see the rest of the year through. A communications manager was also appointed to develop a communications plan and manage media and public relations matters for the hospital to encourage participation of the communities and stakeholders. These changes were also part of the redevelopment master plan for a new ANGAU hospital. ANGAU is moving toward construction of our new hospital and housing units. We have committed partners who are helping us achieve that goal. ADMINISTRATIVE ROLE The governments of Australia and Papua New Guinea have agreed to co- fund the reconstruction of the hospital through the Australia-PNG Joint Understanding on Further Bilateral Cooperation on Health, Education, and Law and Order, signed in July 2013. The master planning process included consultations with all hospital stakeholders, assessing of existing clinical and non-clinical services and facilities, and an analysis of needs and gaps in services and facilities. Construction have since been implemented in stages in order to maintain full operation of current hospital services. Early works that took place were in stage 2 included: Stage 2A works have been up for tender and ordered. This provides us with new theatre equipment including enough equipment for complete function all our theatres, a portable operating theatre, and a wealth of equipment for the hospital. Stage 2B for the Support Service Building, Workshop, Morgue, and Dental Clinic were put on tender and awaiting confirmation. Also, we have moved forward with reclaiming the Northern and Southern housing compounds through legal channels so that we may develop staff housing in these areas. In the process we have arranged for the removal of friable asbestos from the sites to prevent health hazards. STAFF ENGAGEMENTS We have reinstituted multiple committees’ such as management committee, disciplinary committee, and others in trying to promote better CEO’s Report 2015 has been a year of change…new management, new focus, and new direction of where ANGAU Memorial General Hospital is heading with respect to the hospital master plan.
  • 11. 9 communications channels to address staff issues and encourage open discussions on the day-to-day functions of the hospital. In an attempt to bring all our staff together, we held our first staff Christmas Party at Lae International Hotel with great success and attendance. NOTABLE EVENTS FOR 2015 • Dedication and opening of 3 new 50 bed wards. • Commenced construction on the redevelopment project site office. • Canteen structure completed. • Received a Blood bus from the Huon Gulf Rotary Club. • Changed Security company to WAP & Company. • Implemented Time & Access System to improve accountability for staff, hours worked, and absenteeism. • Implemented new visiting hour schedule to reduce number of people on campus. • Collaboration with Lae City Administrator to improve transportation via bus routes for our staff and patients. • New servers ordered with communication network and awaiting arrival and installation. CHALLENGES We are still faced with many obstacles to overcome with our existing facilities. However, those that are of immediate attention are: • Flood damage to CT scanner and radiology department. • Staffing of physicians problematic due to availability of consultants and registrars. • Financial constraints due to reduction in hospital budget. • Maintaining hospital operations and services during redevelopment. I want to thank the staff who have been excellent in their support and commitment to this hospital through this times of change. Your commitment in your administrative duties, patient care including our personal service assistants and our grounds staff have ensured we continue to deliver health services to our people. God bless you all, DR. CHRISTOPHER KENYHERCZ Chief Executive Officer ANGAU is moving toward construction of our new hospital and housing units.
  • 12. 10 Organisational structure MINISTER FOR HEALTH MAJOR SUB-COMMITTEES • Resource Management Committee • Health Services Committee (Patient Care) • Medical Appointment Committee • Tender Committee DEPARTMENT OF HEALTH ADMINISTRATOR CHIEF EXECUTIVE OFFICER BOARD OF MANAGEMENT PATIENTS/GENERAL PUBLIC ANGAU HOSPITAL EXECUTIVE SUPPORT SERVICES SUPPORT SERVICES MEDICAL & ALLIED HEALTH STAFF DEPARTMENT MANAGERS DEPARTMENT MANAGERS DEPARTMENT MANAGERS
  • 13. Pie chart showing the break up of general patient admission in the wards in 2015. Total number of inpatients admitted in 2015 2904 5117 1079 1176 Adult Paediatric Special Care Nursery Post Natal To identify issues for joint attention and to strengthen Primary Care Services and Facilities. We are a Government organisation with the public interest at our heart. Patients young and old and from all walks of life use health care services provided by the ANGAU hospital. Hospital Executive Management In carrying out its duties, the Hospital Board and Management is supported by sub-committees. • The Finance Committee is responsible for overseeing expenditure, presenting health care services budget and monitoring the hospital’s core activities performance on patient care. • The Training Committee is responsible for overseeing the hospital’s human resources strategy and advising the hospital management on training of staff and related matters. • The Resource Committee is the guiding force in overseeing hospital projects and activities. It monitors all activities and projects initiated. It acts as an advisory to the Board.
  • 14. 12 Board & Management Carol Yawing Women’s Representative Lae Urban LLG ANGAU Board Members and the Management are from a wide sector of the community with a lot of experiences put together. They represent different sectors in Morobe for the interest of the people and hospital to ensure services are delivered with the client’s interest at heart. Pastor Bonny Sinako Religious Representative ELC PNG Dr Songli Soctine Director Medical Services Dr Chris Kenyhercz Chief Executive Officer Frank Keno A/Director Corporate Services Sr Concilia Amol A/Director Nursing Services Dr Simon Kasa Staff Representative SMO Urologist, ANGAU David Wissink Board Chairman Sarah Haoda Todd Deputy Board Chairlady Nellie McClay Business Representative Sheila Harou Pati Women’s Representative Morobe Province Administration Micah Yawing Provincial Health Representative Brian Alois Department of Works Management Board
  • 15. 13 Corporate Services We provides a range of support services to enable internal units of the hospital to carry out their key business functions. The corporate services is made up of two divisions which are: INTEGRATED HUMAN RESOURCES DIVISION • Human Resources Development and Recruitment • Job Evaluation and Organisational Development (O&M) • Industrial Relations • Employees wellness and Safety (Personnel) INTEGRATED SUPPORT SERVICES DIVISION • Accounts Section • Stores and Supplies • Catering Services • Transport and Communication • Security and Fire Services • Cleaning Services • Laundry Services • Housing • Facilities and IT Section In total, the corporate services directorate comprises of 81 staff members servicing the entire hospital by performing various duties and responsibilities under these sections. WHAT WE DO The Corporate Services main responsibilities are to make sure that: 1. The Hospital Budget is done annually and is satisfactory with Cash Flow Projection complied and submitted based on annual appropriation. 2. Cash Funds Certificate (CFC) is sent each month to Angau Hospital and ensuring the confirmation of Funds deposited. Account balances are always up to date before any commitment is made and is in line with the Cash Flow Projection. 3. It was very unfortunate that no Financial Statements were prepared since 2010. We are now using this as a stepping stone to get these financial statements and records in order and move forward. 4. Monthly bank reconciliations is done and financial reports prepared for monthly, quarterly and annually. 5. Financial reports are prepared and submitted to the Hospital Management, the Board of Management and to the Health and Finance Department on time. 6. Proper reporting templates are done and distributed by Health Department for Standardized Reporting. 7. The yearly appropriations are controlled and managed properly following procedures and regulations that are based on the financial management policy. 8. A zero tolerance on corruption in all procurement system in the entire hospital with genuine spending. 9. We spend less funds but offer the best for our patients and clients. 10. On in all let our patients see, feel, and enjoy the tangible developments as we spent wisely. HOSPITAL MANAGEMENT SERVICES Total Expenses 2014 2015 33, 346.50 38, 586.20
  • 16. 14 MAIN ACCOUNTS Closing balance for the three main account as of December 2015 was K35,637,404.54. TRAINING ANGAU Memorial General Hospital continues to invest in our staff by providing human resource development initiatives to enable a well-trained workforce. In 2015, the management sponsored the following staff for studies. Diploma in Office Administration • Mova James • Margaret Toyen • Belinda Bodang • Florence Ulaipo Diploma in Accounting • Kaumba Jopepe Certificate in Catering • Jonah Lot Certificate in Business • Poo Sopyale GENERAL PERFORMANCE Hospital performance during the year has amplified in demand due to an increase in patient numbers. This also demands for additional human resources and supplies of goods services to provide quality care for patients. We appreciate the public private partnership support from the business houses and individuals who have contributed in one way or the other to both ANGAU hospital and patients. CHRISTMAS PARTY The board and management recognised the efforts of the entire hospital staff with a morale-boosting and highly appreciated Christmas party in December. CHALLENGES Due to lack of discipline over the years, we face some challenges that are barriers for change in paving a way forward for staff development. Some of them are: Staff reacting against disciplinary action. Managers being reluctant to hold their supervisors accountable for insubordination, non-performance or negligence and vise-versa. Staff not accepting change or correction and keep on doing the wrong things. Several other glitches that are attributing to substandard performance are staff not adhering to the Public Service Code of Ethics and the lack of effective regulatory roles and functions within the corporate services directorate. As a way forward, the corporate services directorate wants to avoid all kinds of corruptions, bribery, fraud, nepotism, incompetence, red tape, procedural bottlenecks and laziness that are widespread in the civil service. Therefore anyone within corporate services directorate who is found to be involved in these corrupt practices will be strictly dealt with. The penalties range from warnings to dismissal. A special word of thank you to all staff who have contributed to a successful operation for 2015 despite the challenges. I appeal for everyone’s cooperation in giving the best services to our people of Lae city and Papua New Guinea. FRANK KENO Acting Director Corporate Services 14 % of the hospital’s running cost is collected by Internal Revenues for services provided to the public
  • 17. 15 Our core function is to oversee the provision of high quality specialist patient care, and training of doctors. We make sure that services are provided in accordance with the set standard operating procedures and treatment guidelines. Medical Services ADMINISTRATION The Medical clinical administration is a full time job for the Director and the Deputy Director Medical Services. The DMS is the clinical advisor to the CEO on administrative and policy matters as well as coordinating all major clinical units. The Deputy DMS coordinates all clinical support services. Secretarial and administrative support services are made available within the DMS office at all working hours to both its staff and the public. STAFF ANGAU Hospital had 182 Medical Services Staff in 2015, out of this: • 130 are on the Hospital’s establishment • 45 are on the National Department of Health positions, and • 5 on the MOROBE Provincial Administration position. The total number of Doctors working in ANGAU Hospital is 56 and comprises of: • 24 Specialist Medical Officers • 22 Registrars • 7 Residents, and • 3 in full time administration. The National Cancer Centre and the National Orthotic and Prosthetic Centres are also located in ANGAU Hospital. EMERGENCY DEPARTMENT (ED) Emergency Section is ANGAU Hospital’s main gateway or entry point to the wards with the exception of expecting mothers presenting with labour pains. ANGAU Hospital’s Emergency section continues to experience over flow with none emergency patients that take up too much time for our doctors which can be better utilized to attend to emergency cases. ANGAU Hospital does not run an Out-Patient Service; non-emergency patients need to attend the nearest Urban Clinic or the General Private Practitioners in town. Those with less serious cases could attend the Specialist Consultation Clinics. The total attendance at the ED was 43,825 in 2015. Again this is an under reporting as not all patients seen are recorded. Malaria, Respiratory and Gastro intestinal illness are among the common reasons for ED attendance for both the Children & adults. Sixty percent (60%) ward admissions were for obstetrics and gynaecology. MEDICAL UNIT The Medical Unit manages adult patients with both infectious and lifestyle disease. Adult lifestyle diseases have equalled the traditionally infectious diseases of the past. Diabetes and hypertension seem to be the leading causes of adult morbidity in Lae. The long term morbidity due to HIV/ AIDS & TB continues to block excess to medical ward for other patients from ED. It accounts for: • 60% of infectious disease and • 60% of all medical admissions. Malaria also is still a prevalent disease
  • 18. 16 in LAE due largely to the heavy rain falls. ANUA MORIRI (HIV) Day Care Centre (AMDCC) Anua Moriri Day Care centre is a day clinic that coordinates all HIV/AIDS services in LAE, MOROBE Province and the MOMASE region. It does counselling for HIV testing and clinically manages HIV positive patients on ART treatment. The number of attendance at the Centre was 6, 800, out of which: • 370 were new cases tested • 71 confirmed as HIV positive. The overall new positive HIV/AIDS cases for the MOROBE Province who were tested and registered at ANGAU Hospital was 387. This is still an under reporting as many people out there with HIV do not come forward for personal reasons. TB DOTS CLINIC The Directly Observed TB Treatment (TB DOTS) is a day clinic that opens during working hours. Screening of family members with TB, confirming their diagnosis, commencing them on the DOTS program and registration all happen here. It receives referrals from Health Centres, Urban Clinics, Private Clinics, Church Health Facilities and other sections of ANGAU Hospital for confirmation of Diagnosis, Treatment and Registration before sent back to their nearest health establishment to complete their DOTS programs. The children are managed by the paediatricians after registration. FRIENDS CLINIC (STD/STI) The friends Clinic attends to all Sexually Transmitted Disease except HIV/AIDS. It is located on the first floor of GWARE wing and operated in partnership with NGOs and Provincial Disease Control Unit. PSYCHIATRIC (MENTAL HEALTH) The psychiatric unit in ANGAU Hospital is fortunate to have two experienced Psychiatrist in 2014 & 2015. The Lae community saw an increase in the number of psychiatric patient’s particularly young adults due to drug abuse. These two doctors are only able to treat and manage patients brought to the hospital by their parents and relatives, the courts and the community who care for them. Due to bed space unavailability a number of our patients were stabilised then referred to LALOKI Psychiatric Hospital. The management made available the former Gynaecology ward as the psychiatry inpatient ward to contain some cost and make it less inconvenient to our patients. SURGERY The surgical unit admitted 1665 patients through ED, the Children’s Out Patients and the Surgical Clinics. Trauma accounted for 70% of all surgical admission in 2014 and dropped to 50% in 2015. The trend showed that male adolescent and adults dominated the surgical admission for that year. The highest number of surgical admissions was in April & November. The number of surgical operations has dropped down due to an increase the number cases cancelled for various reasons particularly shortage of nursing man power and operating theatre space. There were: • 152 appendicitis • 348 fractures, and • 60 penetrating chest and abdominal injuries. The shortage of bed space for surgery was improved by moving into the new A3/A4 ward which also relieved the access block at the Emergency Department. At the surgical clinic 2,226 were attended to for review as well as medical reports. EAR, NOSE & THROAT (ENT) The Ear, Nose & Throat clinic is run by Dr. Joseph Garap. Attendance has increased that is partly due to Dr. Garap’s ENT outreach program and a general increase in ENT cases in the community. OPHTHALMOLOGY (EYE) The Eye clinic has been in operation since 1998 yet not many people of the city are aware of its existence. At the clinic does all eye examination, eye testing for glasses as well as also does minor surgery during the day and patients allowed to go home. The services offered here are basic with cataract surgery as the main operation performed on older people. Eye infections ranks the highest cause for eye clinic attendance. PAEDIATRICS The paediatric unit treats babies one month old to 13 years admitted to the main children’s ward through Children’s Out Patient (COPD) and ED. From 14 years to 17 years are not covered and treated as adults in PNG. In the future they will be classified as adolescent in all hospitals around the country. The admitted children’s illness distribution records malaria and respiratory tract infection as the significant cause of childhood morbidity and mortality. They account for almost 60% of the reason for admissions to the paediatric wards. Recently there has been an increase in the number of TB cases amongst children. The total paediatric admission was 1,176. NEONATOLOGY The Special Care Nursery (SCN) cares for sick new-born babies from birth to one month of age. The common causes of admission to the SCN are complication of prematurity at birth, birth asphyxia and Neonatal The Emergency Department attendance for 2015 was over 43,000 with respiratory illness, malaria, trauma and gastro intestinal problems as the four most common problems.
  • 19. 17 Sepsis which together account for (80%) of all admission to the Special Care Nursery. The total number of Neonates admitted to the Special Care Nursery was 1,079. CHILDREN’S OUTPATIENTS (COPD) Children’s out patient is open to all sick children through referrals from all Urban Clinics and Provincial and District hospitals throughout the Province and the Momase region. It opens seven days a week, from 9am to 3pm daily for the week days and 9am to 2pm on weekends. The Children’s Out Patient attended an increase in attendance from 25,639 to 27,714 sick children in 2014 and 2015 respectively. This is an average of 2,300 per month, that is 77 per day, thus puts a lot of stress on the two hardworking Health Extension Officers. Common childhood illnesses presenting to the Children’s Outpatient are malaria and chest infection. They account for almost 60% of the causes for admission to the children’s wards. This year, the COPD immunised 8,102 babies and children. PAEDIATRICS REVIEW & SPECIALISED CLINICS These clinics review ongoing management of a variety childhood illnesses like cardiology, neurology, endocrinology, TB, Malnutrition. The clinics are located in the children’s out-patient building OBSTETRICS AND GYNAECOLOGY (MATERNITY) The obstetrics & Gynaecology unit caters for all our female reproductive age population requiring obstetrics care as well as disease associated with the female reproductive system (Gynaecology). The trend in the reported figures on maternal health indicators are continuing to rise per year due to an increase in the reproductive age population in Lae and PNG. ANGAU Memorial Hospital delivered up to 9,241 babies; that is second only to Port Moresby General Hospital. The O&G clinics saw 2,820 women. The total number of women operated on for caesarean section and other gynaecological illnesses in the main operating theatre was 1,028. ANAESTHETICS AND INTENSIVE CARE SERVICES Critical care of patients using life support and monitoring equipment and anaesthetising or putting patients to sleep for all forms of surgery is the responsibility of the anaesthetic staff. The anaesthetic records show that 2, 170 patients were being operated on by different doctors including visiting surgeons. RURAL AND URBAN OUTREACH Public Health Specialist Dr. Menda runs the Rural and Outreach program. He visits 3 of the ten urban health establishments within the Lae city for convenience and safety of our Rural and Urban Outreach vehicle. He visits Malahang Clinic on Tuesdays, Buimo Road Clinic on Wednesdays and Milford Haven Clinic on Thursdays every week. On Mondays & Fridays he attends to Family & Children’s Support Centre. During the urban clinics visits, Dr. Menda attended to 330 patients. All other rural health centres/hospitals were not visited due funding of logistics constrains by the Provincial Government. DENTAL /ORAL HEALTH Oral Health is both a hospital and Provincial Health function which jointly operates a clinic in top town. There were two dental officers under the provincial administration with qualified Dental Therapist, Dental Technicians, and dental orderlies that adds up to Nine (9). CANCER TREATMENT CENTRE/ RADIATION ONCOLOGY The PNG Cancer treatment centre in Lae offers mostly palliative radiation therapy and chemotherapy to cancer patients who usually present very late stage. The treatment doses are prescribed by the chief Radiation oncologist, Dr. John Niblett. PHYSIOTHERAPY Physical rehabilitative therapy is conducted by our highly skilled physiotherapist on patients who need exercises, massages and other The table shows some statistic of patients attendance at ANGAU Hospital. DEPARTMENT 2015 2014 General Attendance 100, 060 92, 774 Maternity Ward (Births) 9, 241 8, 332 TB DOTS Clinic 6, 805 6, 978 Friends Clinic (STD/STI) 2, 927 3, 150 Surgery 1, 243 2, 300 Ear, Nose & Throat 2, 182 1, 371 Ophthalmology 2, 719 2, 681 Children’s Outpatient (COPD) 27, 714 25, 639 Blood Bank 7, 417 5, 932 Autopsy 171 156 Note: These statistics is just a summary Note: HIV positive patients on ART are sexually active and having unprotected sex thus presenting with recurrent STI infections.
  • 20. 18 rehabilitative procedures. Here, the patients are taught and trained on self exercise to restore function and to facilitate their recovery after injury or surgery. The physiotherapy unit attended to 1,131 patients with 2,884 physiotherapy sessions conducted. In the month of September over 132 patients were attended to with 190 physiotherapy sessions conducted. FAMILY SUPPORT CENTRE/ WOMEN & CHILDREN’S SUPPORT CENTRE This facility was initially set up and run by the MSF is an important service for patients with gender based violence against women and children. Our facility attends to women, children and men who were all victims of some form of violence. The facility treats, counsels and provides other supportive care to the victims of violence. A total of 995 patients were attended to out of which 40 were male victims. SOCIAL AND SPIRITUAL WELFARE SERVICE This service was not covered due to an unavailability of a social worker. Advertisements were posted and new applicants have been short listed; by 2016 there will be full time social worker who attends to patient’s social welfare. NATIONAL ORTHOTIC AND PROSTHETIC SERVICE (NOPS) This is the supportive centre where artificial limbs are manufactured for individual patient needs; coffins too are made and sold. Fourteen National Orthotic and Prosthetic staff members were year marked to be transferred to the ANGAU hospital structure when our new restructure gets approval by DPM. In 2014 NOPS fitted 455 artificial limbs and in 2015 it fitted 713 artificial limbs, sold 198 & 149 crutches respectively. They also made and sold 128 coffins to relatives of the deceased. MORTUARY SERVICE The Mortuary is a rundown facility located behind the hospital where it stores all dead bodies and conducts post-mortem examination upon a coroners request for medical legal requirements. It has one cool room indoors and two containerised freezers for body storage. Unclaimed bodies stored for over six months are given an honourable mass burial by the hospital with the assistance of the Lae City Council. AUTOPSY Post-Mortem examinations (autopsies) are routinely done by the pathologist, Dr. Lucas Komnapi for all forensic cases assisted by 2 morgue assistants, Peter Wilson and Daru Koria. On occasions the ED doctors stand in and perform autopsies usually on scheduled autopsy days that are after 12 midday on Tuesday and Thursdays. There were one hundred and seventy plus autopsies done with reports compiled for the coroner. BIOMEDICAL EQUIPMENT ENGINEERING The biomedical unit is an essential part of any hospital function which services and maintains all the medical equipment in the hospital. It is highly technical and ANGAU Hospital is fortunate to have three biomedical technicians. MEDICAL LABORATORY The medical laboratory’s core function is to support clinicians in diagnosis and assist clinicians in accurately managing their patients by providing an up to date and timely report on body specimens collected and sent for analysis. ANGAU Hospital offers Medical Laboratory test for Biochemistry, Haematology, Serology (HIV, Hepatitis & Immunology), Microbiology and Histopathology. Below is an individual list of the number of test conducted per section. • Biochemistry - 77,316 tests • Haematology - 263, 172 • Microbiology - 8, 263 • X-matches - 11,112 • Serology - 33,400 • Immunology - 256 • Histopathology - 434 • Cytopathology - 5,820 • TB Microscopy - 6,906 The total number of pathology tests done at the laboratory was 418,123. MALARIA LABORATORY The malaria laboratory is an essential diagnostic facility that is frequently visited by many patients to confirm their malaria diagnosis as it is a requirement for the prescription of MALA 1 (anti- malarial drug) treatment. A total of 19, 103 blood slides were processed at the malaria laboratory. BLOOD BANK The Blood Bank is a medical services function that is run successfully by nursing Officers which saw an increase in attendance by donors. A total of 5,181 bags were grouped and made available for cross matching, out of that only 2,554 patients received 3,035 bags of blood. The blood bank staff members are commended for keeping the hospital well stocked with blood that had saved many livesThe surgical team working on a patient with the assistance of a visiting nurse from the Changhui Christian Hospital in Taiwan.
  • 21. 800 700 600 500 400 300 200 100 0 2014 2015 Artificial Limbs Crutches Coffins NOPS Data for the Number of Items Produced 19 MEDICAL IMAGING Patient’s illness diagnosis is confirmed with medical imaging like General X-rays, Ultrasound Scan and CT scan. The Unit has three conventional X-ray machines, a manual X-ray Film Processors and two CR machines as well as an Ultrasound Scan. The CT Scan installed was faulty after the flooding. A total of 17,553 x-ray films were taken with 60 special examinations and 2,465 ultrasound examinations done. PHARMACEUTICAL SERVICE The hospital pharmacy gets its supplies from the base medical stores in Lae and distributes it to all clinical units based on an internal request form and dispensed to the public through a doctor’s prescription form. April and August recorded the highest of 5,013 and 5,012 prescriptions. A total of 53,804 prescriptions were served at the hospital pharmacy with a monthly average of 4,484 which is 224 prescriptions per day. The consumption of pharmaceutical products in Lae is surprisingly high. Our hospital trust account funds were exhausted when so many of the basic and essential drugs like Quinine, penicillin, arthermeter and many more that were not supplied by the Base Medical Stores. The Hospital spent K682, 152.80 on medical supplies and consumable due to these short falls in the year. The month of November recorded the highest pharmaceutical expenditure with K196, 768. MEDICAL LIBRARY Medical library provides reference books and journals for all hospital staff who wish to further their medical training. It is not fully equipped now but will be looked at when we move to another location. An internet cafe is planned which will boost the flow of educational information for all our staff. MEDICAL RECORDS Patient management records are stored and tabled in the hospital’s Medical Records Section where all hospital statistics are collected and processed. OUTSTANDING ISSUES Medical and Pharmaceutical Supply shortfalls had exhausted hospitals funds and continues to do so due to inadequate quantity issued to us by the base medical stores. Aging and non-functioning medical equipment replacement stopped progressing due to AusAID assistance and the change in management. The number of unclaimed dead bodies stored at ANGAU Hospital appears to be an ongoing case every year that requires external assistance for burials. The Lae city manager, Mr. Roy Kamen had organised to have these bodies an honourable rest at the Second Seven Cemetery in Lae. Our partners in LAE District Health, HOUN GULF District Health and the NAWAE District Health could assist by opening their clinics at least during all working hours. The three Districts that share part of the urban land boundary within the LAE City need to increase their nursing staff strength by creating more new nursing positions in their structure as well as HEO’s and Medical Officers to help take some load off from ANGAU Hospital’s Emergency Department. The current man power at the ANGAU Memorial Hospital is aging and a workforce review is in progress to address any short falls. A review of the structure is currently underway to address the staff shortage. It is noted that shortfalls in the delivery of services at ANGAU Hospital are similar nationwide that cannot easily be solved. We also would like to pays tribute to Dr. MARGARET NABLU, who tragically died on the 12th of November, 2015. DR. RUSO PERONI Deputy Director Medical Services This graph shows the number of items produced by the National Orthotic & Prosthetic Services
  • 22. 20 Whether serving as a nurse in an extended care facility, overseeing nursing assistants, or working as part of a team in a large hospital, the demeanor of each nurse sets the tone for a the entire environment. Nursing Services Year 2015 was another challenging year for Nursing Directorate. Again constrains such as inadequate nursing manpower, inadequate medical equipment, inadequate linens and medical consumable for patient care was experience by all wards/sections. OBJECTIVES Objectives achieved were: • Occupation of new postnatal in June 2015 • Occupation of gynaecology wards in July 2015 • Occupation of new orthopaedic ward in September 2015 MANPOWER Twenty-one graduates from Lae School of Nursing were employed on short term contract immediately after their graduation in April 2015. They were placed on orientation roster in certain wards/section of the hospital and later placed in the ward rosters according to manpower calculations. INFECTION CONTROL ACTIVITIES Infection Control activities were implemented accordingly by respective staff. Purchased of cleaning items from Australia to improve ward environment thus contributing to patients being nursed in a clean ward. HEALTH EDUCATION ACTIVITIES A. In reach Education Programs conducted includes: • Patients Education Program in all units but staff need to participate effectively in this programs • Staff Health Education Training programs • Production of Health messages on Posters/Pamphlets and lamination • Colgate Palmolive staff were invited to assist with Oral and Hand Hygiene Awareness to patients in the hospital B. Outreach Education Programs conducted includes: • Assessment of Health needs in East West Transport and Health presentation topics were work related stress and cancer. KK Kingston presentations topics were cancer in five different sites for the company whilst Morobe Mining presentation topics were on breast cancer and HIV/AIDS. C. Health Days Activities that were observed: • World Sight Day on 9th October 2015 • World Mental Health Day on 10th October 2015 • Global Tooth Washing Day 30th October 2015 • World AIDS Day on the 1st December 2015 NURSING STANDARD Nursing Standard Section in collaboration with Nursing Clinical Practice Committee evaluated the Clinical Nursing Procedure Manual, review and standardise patient care documents, examined wound dressing techniques as well as conducting
  • 23. 21 nursing notes audit. These task are yet to be completed whilst the committee has completed Resource Manual for Emergency Department Nurses. NURSING RESEARCH Nursing Research workshop was conducted by the Nursing Research Officer in collaboration with Mr Telepo, staff from University of Papua New Guinea, and Professor Plumber, a Overseas consultant at Melanesian Hotel for a week. The workshop was to enhance their knowledge and skills in conducting research in the respective wards and write recommendations from these researches to be presented to the management for approval for implementation. TRAININGS ANGAU Hospital was fortunate to have nursing officers accepted for studies at the following institutions. UPNG - Bachelor of Clinical Nursing • Sr Stephanie Damong • Sr Julie Kitoneka • Sr Nettie Warea • Sr Rachel Synell • Sr Tunu Osanu • Sr Mary Nia DWU - Health Management (external studies) • Mr Steven Polis • Mr Steven Nawik Overseas Studies - Midwifery • Sr Cherolyn Pokawin • Sr Jenelyn Norman Other in-house training include bedside and others respective trainings being conducted. Postgraduate students were assisted in their clinical competencies practicum. Clinical rotation were ongoing with two staff from Mendi hospital attached to the oncology unit. NURSES CHRISTIAN FELLOWSHIP Momase Regional Nurses Christian Fellowship one week Convention was hosted by Morobe Nurses in NARI conference centre. A significant number of ANGAU Nurses participated in the Conference. PSYCHIATRIC UNIT Counselling of clients as outpatient were conducted by the mental Nurses and those aggressive clients were admitted to medical ward and in collaboration with Medical Officers, these aggressive clients are sedated and transferred to Laloki Psychiatric Hospital. To conclude I would like to mention a special word of appreciation to all nurses who have contributed towards client care during the year. SR. CONCILIA AMOL Acting Director Nursing Services Nursing Directorate Total Staff is 308. Nursing Officers make up 210 and CHW is 98 staff.
  • 25. 23 Table of Contents Page Declaration by Management 22 Consolidated Statement of Accumulated Funds 23 Consolidated Statement Operating Account Statement 25 Trust Account Statement 26 Redevelopment Project Account Statement 27 Notes of the Accounts 28
  • 26. 24 In accordance with a resolution of the Board of the ANGAU Memorial General Hospital, being responsible for approving the annual accounts, we state that: a) The accompanying financial statements of the ANGAU Memorial General Hospital have been drawn up so as to give a view of the receipts and payments of the Hospital for the year ended 31 December 2015. b) This report has been prepared in accordance with the Finance Instructions 2/2004 issued under Section 117 of the Public Finance (Management) Act 1995 and the International Public Accounting Standard - Financial Reporting Under Cash Basis of Accounting. c) We certify that all records and books of account have been properly maintained. d) We certify that the Statement of Receipts and Payments for the year ended 31 December 2015 is correct. e) As at the date of this statement there are reasonable grounds to believe that the Hospital will be able to pay its debts as and when they become due and payable. On behalf of the Board Signed in Lae this 21st day of September 2016 Declaration by Management David Wissink Chairman Dr Chris Kenyhercz Chief Executive Officer Frank Keno Director Corporate Services
  • 27. 25 CONSOLIDATED STATEMENT OF ACCUMULATED FUNDS YEAR ENDING 31 DECEMBER 2015 FY2015 K FY2014 K Accumulated Funds brought forward 35,434,811 41,785,018 Operating surplus/(deficit) (994,474) (6,350,207) Operating Accumulated Funds 34,440,337 35,434,811 This is presented by: Current Assets Operating Bank Account 15,278,371 20,558,811 Trust Bank Account 2,241,383 3,307,875 Redevelopment Account 16,920,583 11,568,125 Net Cash/Fund Available 34,440,337 35,434,811
  • 28. 26 CONSOLIDATED STATEMENT OF RECEIPTS & PAYMENTS YEAR ENDED 31 DECEMBER 2015 2015 K 2014 K RECEIPTS Government grants - CFCs 18,500,642 17,857,230 Government grants - Cancer 0 60,485 Government grants - Projects 10,000,000 1,000,000 National Gaming Board 0 500,000 Other income 59,110 62,987 Family Support Centre 0 58,325 Hospital Fees 179,577 308,283 Housing Rental 185,580 183,766 Free Health Care Subsidy 0 1,150,000 Proceeds from Sale of Vehicle 0 46,000 Interest Income 2,529 1,532 Donations 30,000 0 Total receipts 21,228,608 21,330,190
  • 29. 27 2015 K 2014 K Expenditure 112 Wages 3,693,026 3,140,669 113 Overtime 94,500 116,679 114 Leave fares 1,862,611 1,422,696 121 Travel & subsistence 783,213 210,267 122 Utilities 4,772,313 4,177,631 123 Office materials & supplies 443,106 383,544 124 Operating materials & supplies 3,805,534 3,828,686 125 Transport & fuel 471,397 380,380 126 Administration & consulting 148,192 - 127 Rental of properties 3,651,912 2,940,501 128 Routine maintenance 423,861 493,516 135 Other Operating Expenses 1,800,685 1,530,953 136 Training 118,874 104,891 141 Retirement benefits & pensions 806,698 1,202,047 221 Office equipment 1,019,371 633,847 222 Purchase of vehicle 0 56,089 224 Plant & equipment 1,483,595 2,147,813 225 New construction, renovations 4,570,495 4,807,279 230 Interest Expense 2,529 1,532 Total expenditure 29, 951, 912 27,578,815 INCREASE/(DECREASE) IN CASH (994,474) (6,350,207) Cash at Beginning of the Year 35, 434, 811 41, 785, 018 Increase/Decrease in Cash (994,474) (6,350, 018) Year End Balance 34,440,337 35,434,811
  • 30. 28 OPERATING ACCOUNT YEAR ENDED 31 DECEMBER 2015 2015 K 2014 K RECEIPTS Government grants - CFC's 18, 500, 642 17,857,230 Government grants - Cancer 0 60,485 National Gaming Board 0 500,000 Family Support Centre 0 58,325 Other income 21, 339 22,172 Transfer from Trust Account 0 56,089 Total receipts 18, 521, 981 18,554,301 EXPENDITURE 112 Wages 3, 616, 284 3,140,639 113 Overtime 94, 500 116,679 114 Leave fares 1, 862, 611 1,422,696 121 Travel & subsistence 768, 273 210,267 122 Utilities 4, 772, 313 4,173,236 123 Office materials & supplies 419, 493 340,854 124 Operating materials & supplies 2, 624, 126 2,908,723 125 Transport & fuel 462, 494 356,881 126 Administration & consulting 148, 192 0 127 Rental of properties 3, 633, 612 2,940,501 128 Routine maintenance 413, 754 486,491 135 Other Operating Account 1, 765, 683 1,405,417 136 Training 118, 874 104,891 141 Retirement benefits & pensions 806, 698 1,202,047 221 Office equipment 1, 019, 371 459,672 222 Purchase of vehicle 0 56,089 224 Plant & equipment 1, 276, 143 1,887,151 Total expenditure 23, 802, 421 21,212,234 INCREASE/(DECREASE) IN CASH 5, 280, 440 2, 657, 933 OPENING BALANCE 20, 558, 811 23, 216, 744 Increase/Decrease in Cash (5, 280, 440) (2, 657, 933) Closing Balance 15,278,371 20,558,811 These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
  • 31. 29 2015 K 2014 K RECEIPTS Hospital fees 179, 577 308,283 Housing rentals 185, 580 183,766 Free Health Care Subsidy 0 1,150,000 Proceeds from sale of vehicles 0 46,000 Other income 37, 771 40,815 Interest Income 2, 529 1,532 Donation 30, 000 0 Total receipts 435, 457 1,730,396 EXPENDITURE 112 Travel & Subsistence 14, 940 0 122 Utilities 0 4,395 123 Office materials & supplies 23, 613 42,690 124 Operating materials & supplies 1, 181, 408 919,963 125 Transport & fuel 8, 903 23,499 127 Rental of Properties 18, 300 0 128 Routine maintenance 10, 107 7,025 135 Other operating account 34, 697 125,361 221 Office equipment 0 174,175 224 Plant & equipment 207, 452 260,662 230 Interest Expense 2, 529 1, 532 300 Transfer to Operating Account 0 56, 089 Total expenditure 1, 501, 949 1, 615, 391 INCREASE/(DECREASE) IN CASH (1, 066, 492) 115, 005 OPENING CASH BALANCE 3, 307, 875 3, 192, 870 Increase/Decrease in Cash (1, 066, 492) 115, 005 Closing Cash Balance 2, 241, 383 3, 307, 875 TRUST ACCOUNT YEAR ENDED 31 DECEMBER 2015 These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
  • 32. 30 2015 K 2014 K Government Grants 10,000,000 1,000,000 Total Receipts 10,000,000 1,000,000 Expenditure Nurses accommodation 0 (79,381) Perimeter Fencing 350, 933 0 Emergency Works - Stage 1 (new wards) 3, 974, 127 2,781,466 Extensions to CT Scanner Room 197, 486 2,105,019 CT Scan Design Audit 33, 440 0 Renovations to Wards 1A, 1B & 1C 14, 509 0 Salaries 76, 742 0 Bank fees 305 175 Total expenditure 4, 647, 542 4,807,279 INCREASE/(DECREASE) IN CASH 5, 352, 458 (3, 807, 279) OPENING BALANCE 11, 568, 125 15, 375, 404 Increase/Decrease in Cash 5, 352, 458 (3, 807, 279) Closing Balance 16, 920, 583 11,568,125 REDEVELOPMENT PROJECT ACCOUNT YEAR ENDED 31 DECEMBER 2015 These amounts are included in the consolidated financial statement under the respective receipts and payments categories.
  • 33. 31 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES The ANGAU Memorial General Hospital provides primary health and hospital services to the people of Morobe Province, mainly funded by the Government of Papua New Guinea. The objectives of the Hospital are to • manage and maintain curative services • improve standards of patients care • provide training to medical students and other health staff, and • provision of specials doctors in the hospital and in the rural area. The ANGAU Memorial General Hospital is established under the Public Hospital Act 1994 which regulates the services and functions of the hospital, its Board, its CEO and the appointment of its officers. The hospital is a public body and reports under the Public Finances (Management) Act 1995. 1.1 Basis of Accounting The financial statements are general purpose financial statements and have been prepared on a cash basis of accounting in accordance with the International Public Sector Accounting Standard (IPSASs) - Financial Reporting Under the Cash Basis of Accounting issued by the International Federation of Accountants. The financial statements are in line with requirements for non-for-profit entities in Papua New Guinea as required by the Finance Instructions 2/2004 issued under Section 117 of the Public Finances (Management) Act 1995. The accounting policies set out below have been applied in preparing the financial statements for the year ended 31 December 2015. The going concern basis was used to prepare the financial statements. 1.2 Basis of Consolidation The financial statements incorporate operating bank account and other trust and project accounts. The balances and effects of transactions between the accounts included in the financial report have been fully consolidated. Separate records were maintained for each account: (a) Operating Account with the BSP Bank; for the purpose of receiving government grants and used for payments of personal emoluments, goods and services and other ongoing expenses and fixed assets such as office equipment, plant & equipment and motor vehicles . (b) Trust Account with BSP Bank : for the purpose of collecting patient fees, donations, house rentals and other receipts. The money is used to pay for purchase of medical drugs, medical supplies and other operating expenses. (c) Project Redevelopment Account with BSP Bank; for managing funds for specific projects. Project codes are assigned in the Hospital’s financial system that enables the Hospital to separately identify and report on funds received for specific projects. In many cases, this is necessary to meet contractual and accountability obligations imposed by funding bodies. The project monies are placed in special bank account and expended in accordance with the terms of government agreements. The monies are not available for other purposes. 1.3 Functional and Presentation Currency The financial report is presented in Kinas. 1.4 Foreign Currency Transactions Transactions denominated in a foreign currency are converted at the rate of exchange prevailing at the date of the transaction. 1.5 Comparative figures Where necessary, comparative figures have been adjusted to conform with changes in presentation in these financial statements. NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS
  • 34. 32 1.6 Cash at Bank Cash at bank comprises cash on hand, cash at bank, deposits held at call and money market investments which can be readily converted to cash. The Hospital does not operate a bank overdraft. 1.7 Receipts Government Grants are recognized as revenue at the time the cash is received in the operating account. Patient fees are recognised as revenue at the time when the cash is collected. Appropriations and other cash receipts are deposited into its bank accounts and are controlled by the Hospital’s Board. 1.8 Payments Payments are recognized as expenses at the time the cheque is raised for payment. 1.9 Taxation The Hospital is exempt from paying all types of taxes, including income tax. This is in accordance with the Income Tax Act 1959, Section 24 Subsection A – Exemption of Public Authorities. 1.10 Events Since Balance Date There is no event occurring after the balance date that could materially affect the financial position of the Hospital as at 31 December 2015. 1.11 Economic Dependency The Hospital is to a significant extent dependant on monies received from the Government to fund its operations. In 2015, funding from Government represented 98.4% (2014: 94.5%) of the total receipts. 1.12 Payments by Other Government Entities – Department of Finance The Hospital benefits from payments made by Department of Finance. These payments constitute cash receipts and payments of the Hospital, and are controlled by the Hospital, as the Personal Emoluments have been appropriated through the National Budget. The International Public Sector Accounting Standard (IPSASs) - Financial Reporting Under the Cash Basis of Accounting requires separate presentation of the Payments by Other Government Entities in the Consolidated Statement of Receipts and Payments. These financial statements did not follow the requirement hence; it represents a departure from IPSAS. 1.13 Comparative Figures Financial statements have not yet been prepared for year ended 31 December 2013. However comparative figures included in these financial statements have been extracted from the books and records of the Hospital. Opening bank balances have been reconciled to bank statements at the beginning of the periods. 2. GOVERNMENT GRANTS The Government provides grants to the Hospital through the Annual Budget and the Department of Health which are received in the operating account to finance the Hospital’s operational requirements. 3. INTEREST INCOME The Hospital earns a nominal amount of interest on the Hospital Trust Account held with BSP. The interest income earned on the bank account of K2,529 was transferred by way of automatic direct debit to a bank account nominated and controlled by Department of Health.
  • 35. 33 4. OTHER RECEIPTS 5. PERSONAL EMOLUMENTS Personal Emoluments payments comprise all payments out of government appropriations centrally administered by the Department of Finance, as well as payments from Operating Accounts, Trust Accounts and Project accounts. Note – Salaries & wages payments for permanent staff are paid directly through the Concept Payroll system. Net salary payments are made direct from Department of Finance bank account and as such these amounts are not processed through the ANGAU bank account. Payments made through Concept payroll must be added to salaries & wages paid from the ANGAU bank accounts to determine total personal emoluments. 2015 K 2014 K National Gaming Board 0 500,000 Family Support Centre 0 58,325 Hospital Fees 179, 577 308,283 Housing Rental 185, 580 183,766 Proceeds from Sale of Vehicles 0 46,000 Other income 59, 110 62,987 Donations 30, 000 0 Total 454,267 1,159,361 2015 K 2014 K Payments from ANGAU Bank Accounts Salaries and Allowances 3, 693, 026 3,140,669 Overtime 94, 500 116,679 Leave fares 1, 862, 611 1,422,696 Retirement Benefits, Gratuities and Retrenchments 806, 698 1,202,047 Salaries & Wages by Concept Payroll 23, 451, 589 21, 216, 842 Total 29, 908, 424 27, 098, 903
  • 36. 34 6. OFFICE MATERIALS & ADMINISTRATION 2015 K 2014 K Administration & Consulting 148, 192 0 Transport and Fuel 471, 397 380,380 Office materials & supplies 443, 106 383,544 Training 118, 874 104,891 Total 1, 181, 569 868, 815 7. MEDICAL MATERIALS The Hospital incurred costs in purchasing medical drugs and pharmaceutical products that are not readily available in the Area Medical Store. 8. CAPITAL PAYMENTS 2015 K 2014 K Office equipment 1, 019, 371 633,847 Motor vehicle 0 56,089 Plant & equipment 1, 483, 595 2,147,813 New construction & renovations 4, 570, 495 4,807,104 Total 7, 073, 461 7,644,853 9. OTHER PAYMENTS 2015 K 2014 K Travel & subsistence 783, 213 210,267 Utilities 4, 772, 313 4,177,631 Operating materials & supplies 3, 805, 534 3,828,686 Rental of properties 3, 651, 912 2,940,501 Routine maintenance 423, 861 493,516 Other operating expenses 1, 800, 685 1,530,953 Total 15, 237, 518 13,181,554
  • 37. 35 10. CASH AT BANK 2015 K 2014 K Operating account 15, 278, 371 20,558,811 Trust account 2, 241, 383 3,307,875 Project Redevelopment Account 17, 361, 240 11,568,125 Total 34, 880, 994 35,434,811 11. RELATED PARTY TRANSACTIONS The key management personnel (as defined by IPSAS 20 Related Party Disclosure) of the Hospital are the Minister, Secretary of Department of Health, members of the Board and the members of the senior management group. The Minister is not remunerated by the Hospital. The aggregate remuneration of the Board members and the number of members determined on an annual basis receiving remuneration are: Aggregate Remuneration: K76,975 Number of members 5 persons Note – There are 9 members of the Board of ANGAU Memorial General Hospital. Of these, 4 members are public servants and do not received any additional remuneration for their duties as Board Members. The other 5 Board members receive remuneration which is detailed above. It should be noted that the payment of 2014 remuneration was paid in FY2015, along with the payment of stipends allowances for half year to June 2015. The senior management group consist of the Chief Executive Officer, Director of Corporate Services , Director of Medical Services and Director of Nursing Services. The aggregated remuneration of the members of the senior management group and the number of managers on an annual basis receiving remuneration are: Aggregate Remuneration: K 1,390,230 Number of persons 4 persons 12. COMMITMENTS Commitments for future expenditure include operating and capital commitments arising from contracts. These commitments are disclosed when considered appropriate and provide additional relevant information to users. The following are significant contracts entered with suppliers: All amounts shown in the commitments note are nominal amounts inclusive of GST. In the normal course of business, the Hospital does not lease facilities, hence there are no minimum lease payments under lease agreements are not detailed in this note. 13. CONTINGENT ASSETS AND CONTINGENT LIABILITIES Contingent assets and contingent liabilities are not recognised in the statement of Receipts and Payments, but are disclosed by way of note and, if quantifiable, are measured at nominal value. Contingent assets and contingent liabilities are presented inclusive of GST receivable or payable respectively. 2015 K 2014 K Hornibrook NGI 0 3,710,295 Total 0 3,710,295
  • 38. 36 Appendix A Nursing Services Directo NURSING OFFICERS 1. Sr Concilia Amol 2. Sr Dianne Samai 3. Mr Henry Kepas 4. Sr Bing Titus 5. Sr Marian Minnala 6. Sr Udy Nombe 7. Mr Duta Yema 8. Mr Steven Polis 9. Sr Pessie Kereng 10. Mr Ian Payau 11. Sr Silames Benson 12. Sr Jenelyn Norman 13. Sr Margaret Lalo 14. Sr Julie Naimini 15. Margaret Toyen - Secretary 16. Lahiamori Ilaura - Clerk 17. Sr Kwim Nicholas 18. Sr Julie Kitoneka 19. Sr Wilma Sebby 20. Sr Joan Jinangi 21. Sr Doreen Pepi 22. Sr Margaret Tuk 23. Sr Cathy Wanwanji 24. Sr Daisy Langu 25. Sr Joyce Job 26. Sr Henny Moses 27. Mr Norman Atam 28. Sr Heligah Kenny 29. Sr Talitha Neri 30. Sr Rose Mathias 31. Mr Yangi Emas 32. Sr Jenelie Nanguan 33. Sr Judith Timmy 34. Sr Zukewe Alinke 35. Sr Jenny Wesly 36. Sr Stella Aundambui 37. Sr Sandra Oneyedikachi 38. Sr Jacinta Rimbau 39. Sr Regina Kura 40. Mr Jessie Som 41. Sr Rubbie Bill 42. Sr Doniah Pemu 43. Mr Katon Klawin 44. Sr Maria Andrew 45. Sr Priscilla Kaivavore 46. Sr Waku Albert 47. Sr Dorothy Wangiomie 48. Sr Gungayong Bonny 49. Sr Anna Masa 50. Sr Mirri Waekesa 51. Sr Debora Yakam 52. Sr Lydia Kawi 53. Mr Matson Aru 54. Sr Blendinah Jim 55. Sr Lydia Bokum 56. Sr Julian Pauliat 57. Sr Martha Kela 58. Sr Dorcas Botty 59. Sr Dora Wai 60. Sr Shallyn Kali 61. Mr Michael Lalam 62. Mr Solomon Toap 63. Sr Melisha Wilbert 64. Sr Teba Anteria 65. Sr Mirry Aripa 66. Sr Betty Mundua 67. Sr Mary Didar 68. Sr Esther Molian 69. Sr Lespina Mais 70. Sr Jane Ambi 71. Sr Malina Wee 72. Sr Agnes Nesat 73. Sr Nane Buni 74. Sr Josephine George 75. Sr Anita Karis Nghang 76. Sr Dulcie Darius 77. Sr Sandy Kongos 78. Sr Florence Nick 79. Sr Esther Okona 80. Sr Rachel Saria 81. Sr Tomittila Lucas 82. Sr Tenny Onum 83. Sr Elsie Bomai 84. Sr Margaret Kissam 85. Sr Gabby Maran Akui 86. Sr Mildred Jack 87. Sr Rhonda Valuka 88. Sr Clare N’Drill 89. Sr Maine Lipen 90. Sr Delma Larake 91. Sr Jacinta Kiwen 92. Sr Lilly Wargem 93. Sr Leah Mariwo 94. Sr Theresia Wangisause 95. Sr Ursula Meyolisa 96. Sr Regina Duma 97. Sr Tuno Osanu 98. Sr Benita Addy 99. Sr June Gebob 100. Sr Michaelyn Willy 101. Sr Everlyn Mondo
  • 39. 37 orate 102. Sr Nonga Igonte 103. Mr Balmer Peter 104. Sr Anna Numbos COMMUNITY HEALTH WORKERS 105. Osaguto Nanako 106. Medlyn Inamba 107. Raphael Erike 108. Lesty Boken 109. Ray Kii 110. Eilyne Makale 111. Jane Bana 112. Pindary Yapane 113. Dellyn Derevi 114. Bora Makas 115. Owise Uri 116. Pakila Gomang 117. Miricah Koyong 118. Alena Galis 119. Monica Suruka 120. Andung Ziongi 121. Wendy Toto 122. Elaingo Jessy 123. Ruby Kens 124. Matilda Lelesi 125. Thomas Menga 126. Nini Paul 127. Jacinta Kitawal 128. Joyce Impmawara 129. Terrah Mote 130. Emma Benny 131. Joan Gau 132. Bertha Apiwae 133. Marieta Gaspa 134. Isabelah Koiap 135. Jansom Yapiyana 136. Roselyn Nauma 137. India Lase 138. Ralup Samoa 139. Justine Kupe 140. Monica Aiyap 141. Betty Isari 142. Joyce Buckley 143. Bob Anua 144. Guebiang Siawong 145. Yatosao Tibong 146. Helen Luke 147. Esneth Kalang 148. Mofa Jama 149. Nancy Roenang 150. Leah Sawefa 151. Ayung Saira 152. Shirley Kerowa 153. Sala Kundi 154. Lynette Ioane 155. Melvin Lombo 156. Colillyan Vaso 157. Joshua Baza 158. Jockyn Amoi 159. Nellie Sariwa Lamit 160. Brian Maulamu 161. Sasa Josephine Michael 162. Menilla Setu 163. Mary Marks 164. Oslai Lucas 165. Dulcie Filson 166. David Waesa 167. Miriam Moi 168. John Essengent 169. Marion Anthony 170. Prudence Noese 171. Anna Baka 172. Nora Mijikomu 173. Rose Katu 174. Enepa Robinson 175. Tigas Munpange 176. Susan Hiwi 177. Alice Kuri 178. Sela Omae 179. Veronica Wapali 180. Philip Anapa 181. Tabby Asok 182. David Kaiku 183. Tino Antiko 184. Elizabeth Louis 185. Zimory Silo 186. Martha Kewa 187. Botty Aiau 188. Serina Intombe 189. David Kaiku 190. Cherly Warapen 191. Anita Maisa 192. Riannah Bayang 193. Robin Nezave 194. Sharon Jackson 195. Dell Abari 196. Jacinta Kitawal 197. Qataneuo Lombo 198. Alebo Malawaku 199. Kesly Benny 200. Veronica Wapali 201. Carolyn Lunga 202. Saki Kiri
  • 40. 38 MEDICAL ADMINISTRATION Director Medical Services - Songli Soctine Deputy Director Medical Services - Ruso Perone Executive Secretary - Lawrencia Tukou Admin Assistant - Florence Ulaipo (attached to pharmacy) Admin Assistant - Alice Essai Admin Assistant - Sandra Mali (attached to X-ray) Librarian - Rita Samo Clerk - Joan Bosko EMERGENCY UNIT Dr. Alex Peawi - Emergency Physician Dr. Enename Susuke - Training Registrar Rotating Dr. Moses Ludafoa - Registrar Dr. Dela Pukatou - Registrar Covering Staff Clinic/Medical Exams Dr. John Pesh - Registrar Dr. Michael Garuai - Senior Service Registrar MEDICAL UNIT Dr. Bernard Belari - Senior Specialist Medical officer Dr. Cathy Timothy - Specialist Medical Officer Dr. Kenneth Sodeng - Specialist Medical Officer Dr. Kare Seki - Registrar Dr. Solomon Mara - Registrar Dr. Lillian Pama - Registrar TB DOTS CLINIC HEO - Lingyam Bumbu ANNUA MORIRI (HIV) DAY CARE CENTRE Dr. E. Ryan - Regional Medical Officer NDoH STD/STI FRIENDS CLINIC HEO Lucy Daley PSYCHIATRY UNIT Dr. Goiba Tienang - Chief Psychiatrist Dr. Chamilou Posanou - Psychiatrist Surgical Unit Dr. Steven James - SMO-General Surgery Dr. Simon Kasa - SMO-General Surgery & Urologist Dr. Alphonse Rongap (Jnr) - SMO- General Surgery Dr. David Nangen - Registrar (M. Med Part II) Dr. Chris Munguas - Registrar (M. Med Part II) Dr. Barry Mutan - Registrar Dr. Michael Maiti - Registrar EAR, NOSE & THROAT Dr Joseph Garap - SMO - ENT OPHTHALMOLOGY Dr C. Aulong - SMO - Ophthalmologist Dr Susie Kiene - Registrar PAEDIATRICS/NEONATOLOGY Dr. Theresa Rongap - SSMO – Paediatrics Dr. Alphonse Rongap (Snr) - SMO – Paediatrics Dr. Francisca - SMO – Paediatrics DR. Joshua Kwam - Registrar Dr. Petroneous Tovirika - Registrar Dr. Margaret Nablu - Registrar CHILDREN’S OUTPATIENT UNIT HEO Sarieng Steward PAU HEO Esther KAWANG OBSTETRICS AND GYNAECOLOGY (MATERNITY) Dr. Leo Winuan - SMO – O&G Dr. Joseph Mondo Jnr - SMO – O&G Dr. John Ropen - Senior Service Registrar Dr. Francisca Kopunye - Registrar Dr. Magdalene Jaungere - Registrar HEO Michael Totil - HEO covering Antenatal/Postnatal wards ANAESTHETICS AND INTENSIVE CARE SERVICE Dr. K. Temo - Specialist Medical Officer (Transferred to PMGH in January 2016) Dr. D. Aisi - Registrar Dr. I. Amaki - Registrar Dr. K. Leafasia - Registrar Theo Suma - Anaesthetic Scientific Officer Andrew Thomas - Anaesthetic Scientific Officer Jenifer Awa - Anaesthetic Scientific Officer Dorothy Ilumi - Anaesthetic Scientific Officer Jack Makandao - Anaesthetic Scientific Officer Lydia Kuso - Anaesthetic Nurse Thecla Merai - Anaesthetic Nurse DENTAL /ORAL HEALTH Cecilia Embe - Dental Therapist Sebu Lamang - Dental Therapist Fred Sebastian - Dental Technician Jacob Nuka - Dental Assistant Gemoring Ereng - Dental Assistant Yamos Kukuone - Dental Assistant (unattached officer) CANCER TREATMENT CENTRE Dr. John Niblett - Chief Radiation Oncologist Dr. Deepak Ghimire - Senior Radiation Oncologist Dr. Manna Ario - Senior Registrar attached to PMGH Dr. Alfred Mel - Senior Registrar Becky Pais - Senior Radiation Therapist Julie Cecil - Radiation Therapist Fore Samandingke - Radiation Therapist Appendix A Medical Services Directo
  • 41. 39 Yanam Ngadup - Nursing Officer Geob Ngabalu - Nursing Officer Kealing Iwaki - Nurse Martha Lucas - Admin Assistant Yarlu Timothy - Admin assistant PHYSIOTHERAPY Bafigu Don - Physiotherapist in Charge Mullah Palambu - Physiotherapy Assistant Samuel Seki - Physiotherapy Assistant FAMILY SUPPORT CENTRE / WOMEN & CHILDREN’S SUPPORT CENTRE Dr. L. Menda - Supervisor Theodora Suma - Clinical HEO Fay Dora Ikasa - Social Worker National Orthotic and Prosthetic Service (NOPS) Rex Larry - Admin Officer Trinty Jill Anthony - Admin Assistant Levuan Yowana - Prosthetist & Orthotist OIC Solo Wasop - Prosthetist & Orthotist Scotty watanikam - Prosthetist & Orthotist Mesurin Isako - Workshop Supervisor Ronald Arku - Prosthetist Technician Robin Dail - Orthotic Technician Sammy Imatana - P/O Technician Augustine Kusu - P/O Technician Begula Gulali - P/O Technician Benson Zheru - P/O Technician Martin Tiden - Joinery Technician Lemok Tiriong - Joinery Technician MORTUARY SERVICE Peter Wilson - Morgue Attendant Daru Koria - Morgue Attendant Biomedical Equipment Engineering Bannah Essai - Biomedical Technician Alex Eroro - Biomedical Technician John Geregl Wagl - Biomedical Technician MEDICAL LABORATORY Dr. Lucas Komnapi - Pathologist (Microbiology) Joseph So’on - Scientific Officer & Laboratory Manager Peggy Benjamin - Medical Laboratory Technician Moses Kirau - Medical Laboratory Scientific Officer Albert Keu - Medical Laboratory Technician Malum Tagabi - Medical Laboratory Technician John Sosopai - Medical Laboratory Assistant Robin Peter - Medical Laboratory Assistant Lydia Ulne - Medical Laboratory Assistant Sam Nisoa - Medical Laboratory Assistant MEDICAL IMAGING Dr. B. Finkeo - Radiologist In charge Tutty Selan - Medical Technologist In- Charge Lillian Kenjue - Medical Technologist Lillian John - Medical Technologist Lucille Worealevi - Medical Technologist Rebecca Raim - Medical Technologist (on Study Leave) Bernard George - Medical Imaging Assistant Luaine Wosae - Medical Imaging Assistant Henry Luke - Medical Imaging Assistant Ilomai Anasi - Medical Imaging Assistant Sandra Mali - Administrative Assistant PHARMACEUTICAL SERVICE Sebastian Mirinu - Pharmacist Adrian Pumwa - Pharmacist Betsina Bon Sodeng - Pharmacist Jane Kanes - Pharmacy Technician Julie Kisokau - Pharmacy Technician Roselyn Kwiwa - Pharmacy Technician Robert Nul - Store man James Kelaga - Store man Lenuinie Bonnie - Store man Cynthia Kusa - Admin. Assistant Florence Ulaipo - Admin. Assistant MEDICAL RECORDS Isidor Pais - Information Manager Sonethan Ngahan - Information Officer Wiyawato Amono - Admission Officer Lorna Theo - Death Registry Clerk Ilai Misek - Medical Record Registry Clerk Susan Niaru - Medical Record Registry Clerk JessieTopiong - Medical Record Registry Clerk Delma Moro - Medical Record Registry Clerk Jessy John - Medical Record Registry Clerk Joseph Payau - Medical Record Registry Clerk Malum Geowa Teta - Medical Record Registry Clerk Joyce Tasin Nabo - Medical Record Registry Clerk Yvonne Mara - Medical Record Registry Clerk URBAN & RURAL HEALTH OUTREACH Dr. L. Menda - SMO (Public Health) orate
  • 42. 40 DR. MARGARET NABLU ANGAU Hospital also lost one of its longest serving staff member and doctor; the late Dr Songli Zimoc Soctine. Dr Soctine took up the post at ANGAU and served the people of Morobe for the last another 28 years. He served in his capacity as the Director for Medical Services. Some of his achievements include: • Receiving the young gynaecologist of the year award in 1990. • Acting medical superintendent in 1992 - 1993 • Medical superintendent in 1994 - 1995 • Acting CEO in 1997 • Deputy Director Medical Services from 1997 - 1998, 2002 - 2005 • Director Medical Services from 2005 - 2016 Dr. Soctine was dedicated to his job as the Director of Medical Services and devoted to ANGAU hospital until his passing. DR. SONGLI ZIMOC SOCTINE DR. MARGARET NABLU was one of the upcoming paediatric doctors of this decade until her passing. Dr. Margaret Nablu commenced work at ANGAU in 2011 after completing her residency as a paediatric registrar and a long attachment to the hospital as part of her medical study. She was dedicated to her job as the medical officer. Her level of commitment was astounding that she would be on call at least three times a week. Dr. Nablu was a member of the paediatric society, Women Doctors Association and many other groups as well as the paediatric unit very own initiative called Acts 29 that provides additional care for patients and carers within that unit of the hospital. Dr. Nablu tragically passed away in November, 2015. We take this time to pay special tribute to our staff who have given their services to ANGAU Hospital and the people of Morobe. We would like to remember especially our three selfless doctors. Special Tribute DR. ALPHONSE RONGAP (SNR) The loss is not just for the family but for ANGAU Hospital and the country as a whole. Dr. Rongap senior was a very experienced paediatrician and another long serving staff member. His life is a legacy that will continue in the lives of the people he has touched. This was confirmed by his family and student doctors through his honorary lecturing career as well as other countless patients and colleagues he came into contact with during his career as a doctor and paediatrician. • Dr. Rongap senior served the hospital for 30 years. Some of the highlights of his career are: • Acting medical superintendent at Goroka Base Hospital in 1986/1989 • Attainment of a Masters Degree in Medicine - Paediatric in 1987 • Honorary lecturer in Child Health at UPNG Medical Faculty from 1987 to 2016. • Appointed as regional paediatrician for the highlands region in 1990 • Appointed as the medical superintendent and SMO paediatrician for Boram General Hospital in 1993 • Joined ANGAU as the Medical Services Director in 1995 to 1999 after which he didn’t reapply but concentrated on his duties as an SMO and building the paediatric unit of ANGAU Hospital. • He was also serving as the Vice President of the National Doctors Association. He dedicated his life to public service of this country. He believed in it and he believed in the general orders.He influenced everyone he come across to become a doctor. It was his passion. From the family to everyone is to keep the good memories. May you rest in eternal peace.
  • 43. 41 Acts 29 - Paediatric Team at ANGAU Hospital Angau Angels Foundation Australian High Commission Bank South Pacific Buimo Correctional Institute Bumayoug Lutheran Secondary School Cancer Foundation Cancer Relief Society Changhui Christian Hospital - Taiwan Christian Revival Crusade Lae Church of Christ of Latter Day Saints Lae Datec Lae Digicel PNG Ltd Daikin PNG Dr. John & Andrea Niblett Ela Motors Lae Fijian Community of Lae Guard Dog Security Services Hornibrook NGI Limited Health & HIV Service Implemention Provider Huon Gulf Rotary Club Interplast - Australia & New Zealand JDA Applus Velosi PNG Kina Bank KK Kingston Ltd Kuima Security Services Lae Biscuit Company Lae Builders & Contractors Lae City Council Lae International Hotel Lae Lions Club Lae School Of Nursing LD Logistics Nurses Christian Fellowship Lutheran Church Mainland Holdings - Tablebirds Marie Stopes Lae Meddent Medical Services Medical Equipment Maintenance Project Morobe Mining Joint Venture Morobe Midwifery Association Branch Morobe Nurses Association Branch Morobe Provincial Government Morobe Provincial Health Division National Broadcasting Cooperation National Department of Health National Fisheries Authority National Government NARI NKW Group Panamax Lae Papindo Lae Philippines Community in Lae PM O’Niell Foundation PNG Tribal Foundation Prima SmallGoods Prime Travel Services Remington Lae Soroptomist International Lae Summer Institute of Lingustics PNG Telikom PNG Technical Enabling Unit - Cardno TSCF for Secondary Schools in Morobe University of PNG - Medical Faculty University of Technology WAP & Company Security Services VSO Westpac Bank World Health Organization World Vision International Lae Yamgar Investment The board members, management and staff would like to thank the following people and organisations for your support to the hospital in 2015. Thank you